Individual provider · Type 1 NPI

Jimma Lanelle Lake, LPTA

Physical Therapy Assistant · Waxahachie, TX

NPI number 1992900336 Active

Practice location

112 Vintage Dr
Waxahachie, TX 75165-6510

Call (214) 632-9075 Map

Fax (972) 923-0493

Mailing address

PO Box 81
Richland, TX 76681-0081

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2012555 (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 1992900336

Jimma Lanelle Lake, LPTA's National Provider Identifier is 1992900336, issued on Jun 17, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Waxahachie, TX. The record was last updated on Jul 8, 2007.