Individual provider · Type 1 NPI

Marissa Lynn Shepherd, PTA

Physical Therapy Assistant · Lake Mary, FL

NPI number 1942589825 Active

Practice location

1337 S International Pkwy
Lake Mary, FL 32746-1402

Call (407) 833-0802 Map

Mailing address

1830 Turtle Hill Rd
Enterprise, FL 32725-2452

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X22209 (FL)

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 …

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About NPI 1942589825

Marissa Lynn Shepherd, PTA's National Provider Identifier is 1942589825, issued on Aug 10, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Mary, FL. The record was last updated on Aug 10, 2011.