Marisa Rodriguez, PTA
Individual provider Active NPI Physical Therapy Assistant · Friona, TX
NPI 1164071452 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1164071452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2060208 (TX)
- Practice address
- 201 E 15TH St
Friona, TX 79035-1207 - Phone
- (806) 759-5177
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2060208 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2060208 | TX | Yes |
Addresses
Primary practice location
201 E 15TH St
Friona, TX 79035-1207
Mailing address
402 Long St
Hereford, TX 79045-3228
Phone (806) 759-5177
Other providers in Friona, TX
- Parmer County Hospital District
- Parmer County Hospital District
- David M Pearson
- Lacy Plummer
- Prairie Acres
- Leigh Anne Rushing
- Karina Yvette Tafoya
- Tammy Tyler
- West Texas Home Health, Inc.
- West Texas Home Health, Inc.
All providers in Friona, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.