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

Individual provider Physical Therapy Assistant · NPI 1740542083

Jennica Vaughan Radle, PTA is a Physical Therapy Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
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

85 NE Loop 410 Ste 612
San Antonio, TX 78216-5866
Phone: (210) 494-2343
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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 2086140 (TX)

Record details

NPI number1740542083
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012

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