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

Individual provider Physical Therapy Assistant · NPI 1114589686

Stanley Todd Bruce Jr. is a Physical Therapy Assistant in Tifton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1451 Newton Dr
Tifton, GA 31794-3752
Phone: (229) 392-4426
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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 PTA002917 (GA)

Record details

NPI number1114589686
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2019
Last updated in NPPESJuly 3, 2019
Mailing address1451 Newton Dr, Tifton, GA 31794-3752

Other providers in Tifton