Krista Ball

Individual provider Active NPI Physical Therapy Assistant · Inverness, FL

NPI 1861960056 · NPPES record last updated Nov 6, 2018

Key facts

NPI
1861960056
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA26339 (FL)
Practice address
2236 Highway 44 W
Inverness, FL 34453-3873
Phone
(352) 419-4882
NPI assigned
Nov 6, 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

LicenseStateTypeSpecialty
PTA26339FLMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA26339 FL Yes

Addresses

Primary practice location

2236 Highway 44 W
Inverness, FL 34453-3873

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1141

Other providers in Inverness, FL

All providers in Inverness, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.