Individual provider · Type 1 NPI

Kyle William Wisniewski, PTA

Physical Therapy Assistant · Shoreline, WA

NPI number 1013663566 Active

Practice location

1227 N 205th St
Shoreline, WA 98133-3214

Call (206) 546-2220 Map

Mailing address

11716 Greenwood Ave N Apt 301
Seattle, WA 98133-8162

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X61205687 (WA)

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 1013663566

Kyle William Wisniewski, PTA's National Provider Identifier is 1013663566, issued on Feb 23, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shoreline, WA. The record was last updated on Feb 23, 2022.