Individual provider · Type 1 NPI

Matthew Davis, PTA

Physical Therapy Assistant · Shreveport, LA

NPI number 1972142214 Active

Practice location

650 Olive St
Shreveport, LA 71104-2210

Mailing address

4702 Erin Ln
Shreveport, LA 71109-6215

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA9209 (LA)

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 1972142214

Matthew Davis, PTA's National Provider Identifier is 1972142214, issued on Jan 3, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 3, 2020.