Gregory Shane Dirickson, LPTA
Physical Therapy Assistant · Bangs, TX
Practice location
1105 E Fitzgerald StBangs, TX 76823-3232
- Phone
- (325) 752-7682
NPI record
- NPI
- 1376108704
- Entity type
- Individual (Type 1)
- Enumeration date
- May 1, 2019
- Last updated
- May 1, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
2128687 | TX |
Mailing address
2803 14TH StBrownwood, TX 76801-7911
- Phone
- (325) 330-2370
About Gregory Dirickson
Gregory Shane Dirickson, LPTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1105 E Fitzgerald St, Bangs, TX 76823-3232. The NPI number 1376108704 was assigned on May 1, 2019 and the record was last updated on May 1, 2019.
Gregory Dirickson lists a license in the registry: #2128687 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gregory Shane Dirickson, LPTA?
The NPI number is 1376108704.
What is the phone number of Gregory Dirickson?
The phone number listed for the practice location is (325) 752-7682.
Where is Gregory Dirickson located?
1105 E Fitzgerald St, Bangs, TX 76823-3232.
What is the taxonomy code for Gregory Dirickson?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapy Assistant providers in Bangs
- Samantha Rae Hollekim1105 E Fitzgerald St
- Billie Byers, PTA1105 E Fitzgerald St