NPI 1033579966

Brandy Decker, PTA

Practitioner Physical Therapy Assistant Clayton, NM

Practice location

Address: 419 Harding St, Clayton, NM 88415-3323
Phone: (575) 374-2562
Mailing address: 719 E Love St, Mexico, MO 65265-2912

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2015036824 (MO)

Other Physical Therapy Assistant providers in New Mexico →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-1210 (NM)

Registry record

NPI: 1033579966
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2016
Record last updated: 4 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.