Individual provider · Type 1 NPI

Phyllis A. Wardlow, PTA

Physical Therapy Assistant · Jackson, TN

NPI number 1962587162 Active

Practice location

121 Physicians Dr
Jackson, TN 38305-6011

Mailing address

148 Henderson Rd
Jackson, TN 38305-5913

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0849 (TN)

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 1962587162

Phyllis A. Wardlow, PTA's National Provider Identifier is 1962587162, issued on Oct 26, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, TN. The record was last updated on Jul 8, 2007.