IndividualActive
Grace Green, PTA
NPI 1407336878 · Physical Therapy Assistant · Edna, TX
Provider details
- NPI number
- 1407336878
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2091816 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1401 W Main St
Edna, TX 77957-2454
Phone: (361) 782-7614
Approximate (ZIP-level) locationGet directions
Mailing address
310 W Church St
Edna, TX 77957-3520
Registry dates
- Enumerated
- 2018-08-15
- Last updated
- 2018-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.