Carley Michelle Anderson, PTA
Physical Therapist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1114145331
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1114145331
- Entity type
- Individual (NPI-1)
- Name
- Carley Michelle Anderson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Certification date
- Jul 14, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2162102 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | NONE | – |
Practice location
3401 Amador DrFort Worth, TX 76177-2227
Phone 682-204-0853
Mailing address
12880 Ns 3590Wewoka, OK 74884-5402
Phone 405-398-4761
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All 619 Physical Therapist providers in Fort Worth · All 20,155 providers in Fort Worth
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