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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAE DIPLOMA TIDALGO

Active

MAE DIPLOMA TIDALGO is a Physical Therapy Assistant healthcare provider located in HARTSELLE, Alabama. NPI 1356806574 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HARTSELLE, AL

Registration Details

NPI Number
1356806574
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2019 (7.4951860450425 yrs)
Last Updated
Nov 11, 2025
Licenses
PTH8746 (AL)
CP050840T (TN)
1284660 (TX)

Practice Information

Address
2630 BARKLEY BRIDGE RD SW
HARTSELLE, AL, 356405111
Browse AL providers · Browse ZIP 35640
Phone
2563187500
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in HARTSELLE, AL

Name Credential NPI
BRIAN JAMES BOWERS PT 1487714200
JOSEPH M TUCKER PT 1760640072
MISS ANNA K ATCHISON DPT 1811294846
LESLIE CANUP 1174289284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.