Individual provider · Type 1 NPI

Kelly Buckman, PTA

Physical Therapy Assistant · Council Bluffs, IA

NPI number 1003219973 Active

Practice location

201 W Broadway
Council Bluffs, IA 51503-9004

Fax (712) 329-0329

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X004861 (IA)
Physical Therapy Assistant 225200000X1107 (NE)

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 1003219973

Kelly Buckman, PTA's National Provider Identifier is 1003219973, issued on Oct 6, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Council Bluffs, IA. The record was last updated on Oct 6, 2014.