Individual provider · Type 1 NPI

Travis Grondel, PTA

Physical Therapy Assistant · Las Vegas, NV

NPI number 1003277484 Active

Practice location

3831 W Charleston Blvd
Las Vegas, NV 89102-1859

Mailing address

3213 Fence Rider Ave
North Las Vegas, NV 89031-5111

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA-0832 (NV)

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 1003277484

Travis Grondel, PTA's National Provider Identifier is 1003277484, issued on Mar 14, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 14, 2016.