Individual provider · Type 1 NPI

Tyler Wilbourn, PTA

Physical Therapy Assistant · Tecumseh, OK

NPI number 1982303111 Active

Practice location

503 N Broadway St
Tecumseh, OK 74873-2017

Mailing address

PO Box 3675
Shawnee, OK 74802-3675

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3603 (OK)

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 1982303111

Tyler Wilbourn, PTA's National Provider Identifier is 1982303111, issued on Feb 27, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tecumseh, OK. The record was last updated on Feb 27, 2023.