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

Elizabeth Ann Pack, PTA

Individual provider Physical Therapy Assistant · NPI 1386273266

Elizabeth Ann Pack, PTA is a Physical Therapy Assistant in Desloge, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
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

801 Brim St
Desloge, MO 63601-3441
Phone: (573) 431-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 115667 (MO)

Record details

NPI number1386273266
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020

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