IndividualActive
Larry Hernandez, PTA
NPI 1760283345 · Physical Therapy Assistant · Fort Mohave, AZ
Provider details
- NPI number
- 1760283345
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 014942 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone: (928) 788-2273
Approximate (ZIP-level) locationGet directions
Mailing address
533o S Hwy 95
Fort Mohave, AZ 86426
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-03-20
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.