Cheryl Lynette Puckett, PTA
Individual provider Active NPI Physical Therapy Assistant · Muleshoe, TX
NPI 1366950669 · NPPES record last updated Jan 21, 2018
Key facts
- NPI
- 1366950669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2128405 (TX)
- Practice address
- 1100 W Avenue J
Muleshoe, TX 79347-4424 - Phone
- (806) 272-7578
- NPI assigned
- Jan 21, 2018
- 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 |
|---|---|---|---|
| PTA1454 | NM | MD | Physical Therapy Assistant |
| 2128405 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1454 | NM | |
| Physical Therapy Assistant | 225200000X | 2128405 | TX | Yes |
Addresses
Primary practice location
1100 W Avenue J
Muleshoe, TX 79347-4424
Mailing address
510 County Road 193
Muleshoe, TX 79347-6288
Phone (806) 946-9555
Other providers in Muleshoe, TX
- Preferred Hospital Leasing Muleshoe, Inc.
- Preferred Hospital Leasing Muleshoe, Inc.
- Preferred Hospital Leasing Muleshoe, Inc.
- Preferred Hospital Leasing Muleshoe, Inc.
- Preferred Hospital Leasing Muleshoe, Inc.
- Jerry D. Redwine
- Regence Health Network Inc
- Robert L. Lepard D.D.S.,P.a.
- RSP of Muleshoe, LLC
- Sandhills LTC
All providers in Muleshoe, 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 Jan 21, 2018. 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.