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NPI Code Detail

MEDICARE: AIMEE SKAGGS LPTA

MEDICARE: AIMEE SKAGGS LPTA
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 Assistant4057TN
2225200000XPhysical Therapy Assistant2115751TX

General Provider Information

NPI Number : 1922549153
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE SKAGGS LPTA
Provider Business Mailing Address
First Line : 1676 YUKON DR
Second Line :
City : BURLESON
State : TX
Zip : 76028-8250
Country : US
Telephone Number : 682-970-2242
Fax Number :
Provider Business Practice Location Address
First Line : 2121 MIDWAY RD STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-5263
Country : US
Telephone Number : 972-851-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2017
Last Update Date : 08/15/2025

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