MEDICARE: MS. LASHAWN DENISE KINCAID PTA

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
1	225200000X	Physical Therapy Assistant	2049221	TX
2	225200000X	Physical Therapy Assistant	CP053388A	WA

General Provider Information

NPI Number	:	1114263811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LASHAWN DENISE KINCAID PTA

Provider Business Mailing Address
First Line	:	5901 E STASSNEY LN
Second Line	:	1303
City	:	AUSTIN
State	:	TX
Zip	:	78744-4602
Country	:	US
Telephone Number	:	512-944-6922
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 E STASSNEY LN
Second Line	:	1303
City	:	AUSTIN
State	:	TX
Zip	:	78744
Country	:	US
Telephone Number	:	512-944-6922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2012
Last Update Date	:	03/02/2026

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