Individual provider · Type 1 NPI

Kendra Miller, PTA

Physical Therapy Assistant · Springfield, IL

NPI number 1013572114 Active

Practice location

800 N 1st St
Springfield, IL 62702-3778

Mailing address

1025 S 6th St
Springfield, IL 62703-2499

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160006896 (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 1013572114

Kendra Miller, PTA's National Provider Identifier is 1013572114, issued on May 3, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Springfield, IL. The record was last updated on May 3, 2019.