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

Individual provider Physical Therapy Assistant · NPI 1538778758

Amaeraly Deacon is a Physical Therapy Assistant in Odessa, Texas. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2525 N Grandview Ave Ste 400
Odessa, TX 79761-1621
Phone: (432) 550-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3201 N Midland Dr Ste 130, Midland, TX 79707-0003 — (432) 617-3110
  • 1365 W University Blvd, Odessa, TX 79764-7121 — (432) 580-0011

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1538778758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address2525 N Grandview Ave Ste 400, Odessa, TX 79761-1621

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