Tanya K Powell PTA, BS

NPI 1295166502 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1295166502
Gender Female
Enumeration Date 12/12/2013
Last Updated 12/12/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
4109 HIGHWAY 98 W
SUMMIT MS, 39666-9132, US
Phone (601) 276-3900
Fax (601) 276-3938
Business Location
PETAL MS, 39465, US
Phone (601) 307-8839
Taxonomy Code 225200000X
License State Mississippi
License Number PTA3623
Remove 1295166502 NPI Number

According to our database, Mrs. Tanya K Powell PTA, BS NPI is 1295166502, taxonomy code is 225200000X and license number is PTA3623, license state is located at Mississippi. Tanya K Powell PTA, BS physically located at 4109 Highway 98 W, Summit MS, 39666-9132. NPI Number Tanya K Powell PTA, BS has the Individual type.

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1295166502 NPI number is provided on an as is basis without warranty of any kind. 1295166502 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya K Powell PTA, BS are for informational purposes only.