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Ryan Baksh, PTA

Physical Therapy Assistant in Port Saint Lucie, FL. Individual provider (NPI-1).

NPI number1104760065
StatusActive
Last updated in NPPESApr 20, 2026

Details

NPI
1104760065
Entity type
Individual (NPI-1)
Name
Ryan Baksh
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 20, 2026
Certification date
Apr 19, 2026
Last updated
Apr 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA33562FLYes

Practice location

10560 Sw Village Pkwy
Port Saint Lucie, FL 34987-2359

Phone 772-446-0203

Mailing address

1116 Sw Lawndale Ave
Port Saint Lucie, FL 34953-7714

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Other Physical Therapy Assistant providers in Port Saint Lucie, FL

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