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Shasta D Raby, PTA

Physical Therapy Assistant in Austin, TX. Individual provider (NPI-1).

NPI number1104786540
StatusActive
Last updated in NPPESNov 17, 2025

Details

NPI
1104786540
Entity type
Individual (NPI-1)
Name
Shasta D Raby
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2025
Certification date
Nov 17, 2025
Last updated
Nov 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2090313TXYes

Practice location

13915 Burnet Rd Ste 103
Austin, TX 78728-6518

Phone 512-710-6516

Mailing address

13915 Burnet Rd Ste 103
Austin, TX 78728-6518

Phone 512-710-6516 · Fax 512-355-1966

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