Individual provider · Type 1 NPI
Lacey Delilah Slade, PTA
Physical Therapy Assistant · Jerome, ID
Practice location
128 5th Ave W
Jerome, ID 83338-1863
Mailing address
3550 S 2100 E
Wendell, ID 83355-3529
Other practice locations
- 429 N. Idaho St., Wendell, ID 83355 · (208) 536-3090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA-6147 (ID) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
4 other providers at this address
Other physical therapy assistant providers in Jerome
About NPI 1932766052
Lacey Delilah Slade, PTA's National Provider Identifier is 1932766052, issued on May 23, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jerome, ID. The record was last updated on May 23, 2019.