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

Mr. Jeffrie Glenn Waters, PTA

Individual provider Physical Therapy Assistant · NPI 1821426859

Mr. Jeffrie Glenn Waters, PTA is a Physical Therapy Assistant in Atwater, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

1685 Shaffer Rd
Atwater, CA 95301-4456
Phone: (209) 357-3420
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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 9195 (CA)

Record details

NPI number1821426859
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 30, 2013
Last updated in NPPESOctober 30, 2013

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