IndividualActive
Gregory Dirickson, LPTA
NPI 1376108704 · Physical Therapy Assistant · Bangs, TX
Provider details
- NPI number
- 1376108704
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2128687 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1105 E Fitzgerald St
Bangs, TX 76823-3232
Phone: (325) 752-7682
Approximate (ZIP-level) locationGet directions
Mailing address
2803 14th St
Brownwood, TX 76801-7911
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2019-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.