Individual provider · Type 1 NPI
Staci A. Burris, PTA
Physical Therapy Assistant · East Peoria, IL
Practice location
900 Centennial Dr # 30
East Peoria, IL 61611-4928
Mailing address
1141 N Nancy St
East Peoria, IL 61611-9554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160005049 (IL) |
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 1003428806
Staci A. Burris, PTA's National Provider Identifier is 1003428806, issued on Aug 21, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in East Peoria, IL. The record was last updated on Aug 21, 2020.