Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adria Cannon, STUDENT, PTA

Individual provider Physical Therapy Assistant · NPI 1689258675

Adria Cannon, STUDENT, PTA is a Physical Therapy Assistant in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2209 N 30th St Ste 5
Tacoma, WA 98403-3352
Phone: (253) 446-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physical Therapy Assistant Taxonomy 225200000X · Licence 60567605 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MHCA.MC.61309127 (WA)

Record details

NPI number1689258675
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT , PTA
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

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