Individual provider · Type 1 NPI

Jason Corinthius Livas, PTA

Physical Therapy Assistant · Southlake, TX

NPI number 1972133874 Active

Practice location

2813 W Southlake Blvd Ste 110
Southlake, TX 76092-6832

Call (817) 310-8780 Map

Mailing address

732 Princeton Dr
Desoto, TX 75115-1435

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	2152500 (TX)

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 1972133874

Jason Corinthius Livas, PTA's National Provider Identifier is 1972133874, issued on Jan 20, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southlake, TX. The record was last updated on Jan 20, 2020.