Ronnie Nottingham, PTA
Physical Therapy Assistant in Fate, TX. Individual provider (NPI-1).
NPI number1982185435
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1982185435
- Entity type
- Individual (NPI-1)
- Name
- Ronnie Nottingham
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2041226 | – | Yes |
Practice location
180 Hampton DrFate, TX 75087-6886
Phone 903-217-6407
Mailing address
406 S Main StWinnsboro, TX 75494-3226
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