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NPI Code Detail

MEDICARE: TESS HARDY

MEDICARE:   TESS  HARDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2069270TX
2225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1154643716
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESS HARDY
Provider Business Mailing Address
First Line : 6337 FM 660
Second Line :
City : ENNIS
State : TX
Zip : 75119-1464
Country : US
Telephone Number : 512-423-6999
Fax Number :
Provider Business Practice Location Address
First Line : 2007 RABB GLEN ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-3943
Country : US
Telephone Number : 512-423-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2010
Last Update Date : 01/19/2022

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Directions to “ TESS HARDY ” Practice Location

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