Justin Lyons, PTA

NPI #1003407602 in Waco, Texas

Provider Information

NPI Number: 1003407602
Entity Type: Individual
Name: Justin Lyons, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 27, 2021
Last Updated: Jan 27, 2021

Practice Location

Address: 1201 HEWITT DR STE 107
City: Waco
State: Texas
ZIP Code: 76712-8834
Phone: (254) 572-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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