IndividualActive
Vivian Gillis, PTA
NPI 1225708761 · Physical Therapy Assistant · Augusta, FL
Provider details
- NPI number
- 1225708761
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- TA7686 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
60 No Name Ave
Augusta, FL 33635
Phone: (813) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2661
Blairsville, GA 30514-2661
Registry dates
- Enumerated
- 2021-09-16
- Last updated
- 2021-11-01
- Certified
- 2021-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.