NPI 1407231160

Felicia Diane Hackerott, PTA

Practitioner Physical Therapy Assistant Tigard, OR

Practice location

Address: 16485 SW Pacific Hwy, Tigard, OR 97224-3446
Phone: (503) 620-5141
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 09217 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1407231160
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2015
Record last updated: 23 Jul 2015

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.