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

Macie Rose Southard, PTA

Individual provider Physical Therapy Assistant · NPI 1831816263

Macie Rose Southard, PTA is a Physical Therapy Assistant in Wichita Falls, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4309 Old Jacksboro Hwy Ste 101
Wichita Falls, TX 76302-2700
Phone: (940) 386-1004
Fax: (940) 386-9944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2173083 (TX)

Record details

NPI number1831816263
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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