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

Mrs. Deidra Leann Fooks, PTA

Individual provider Physical Therapy Assistant · NPI 1205029766

Mrs. Deidra Leann Fooks, PTA is a Physical Therapy Assistant in Jefferson City, Missouri. Registered with an NPI since 2007.

In the registry since
2007
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

2308 Liberty Ln
Jefferson City, MO 65109-6016
Phone: (573) 353-1432
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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

Record details

NPI number1205029766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 19, 2007
Last updated in NPPESAugust 19, 2007

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