Individual
PEGGY ANN FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1009 CLYDE ST, AMARILLO, TX 79106-4225
(806) 352-5295
Mailing address
7406 ALEXANDRIA AVE, AMARILLO, TX 79118-6251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013561
TX
225700000X
Massage Therapist
MT034133
TX
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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