NPI 1073892394

Tasha Lynne Smith, PTA

Practitioner Physical Therapy Assistant Fayetteville, GA

Practice location

Address: 110 Brandywine Blvd, Fayetteville, GA 30214-1500
Phone: (770) 461-2928

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA002747 (GA)

Other Physical Therapy Assistant providers in Georgia →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J20000289 (DE)

Registry record

NPI: 1073892394
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2011
Record last updated: 4 Aug 2011

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.