Jennifer Garza

Individual provider Active NPI Physical Therapy Assistant · Yuma, CO

NPI 1952959488 · NPPES record last updated Aug 28, 2019

Key facts

NPI
1952959488
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA.0012266 (CO)
Practice address
323 W 9TH Ave
Yuma, CO 80759-2924
Phone
(970) 848-5804
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

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
PTA.0012266COMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0012266 CO Yes

Addresses

Primary practice location

323 W 9TH Ave
Yuma, CO 80759-2924

Mailing address

323 W 9TH Ave
Yuma, CO 80759-2924
Phone (970) 848-5804

Other providers in Yuma, CO

All providers in Yuma, CO · Physical Therapy Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.