Individual provider · Type 1 NPI

Chad Davis, PTA

Physical Therapy Assistant · New Lenox, IL

NPI number 1003090309 Active

Practice location

806 Laraway Rd, #808
New Lenox, IL 60451-2694

Fax (815) 462-8425

Mailing address

1521 Centurion Ln
New Lenox, IL 60451-2580

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003090309

Chad Davis, PTA's National Provider Identifier is 1003090309, issued on Dec 21, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New Lenox, IL. The record was last updated on Dec 21, 2007.