IndividualActive
Christine Taylor, PTA
NPI 1780216168 · Geriatric Physical Therapist · Lago Vista, TX
Provider details
- NPI number
- 1780216168
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2006862 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3902 Constitution Dr
Lago Vista, TX 78645-7903
Phone: (512) 699-0895
Approximate (ZIP-level) locationGet directions
Mailing address
3902 Constitution Dr
Lago Vista, TX 78645-7903
Registry dates
- Enumerated
- 2020-02-04
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.