Individual
REBECCA NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
123 BENTWOOD, ROBINSON, TX 76706-9623
(724) 986-1338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2109841
TX
225200000X
Physical Therapy Assistant
TEI003138
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386989598
NPI
—
Enumeration date
11/29/2012
Last updated
03/07/2020
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