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

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