Individual provider · Type 1 NPI

Miguel Davis

Physical Therapy Assistant · Lake Bluff, IL

NPI number 1013790070 Active

Practice location

101 Waukegan Rd Ste 1100
Lake Bluff, IL 60044-3013

Fax (847) 247-2405

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1013790070

Miguel Davis's National Provider Identifier is 1013790070, issued on Aug 15, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Bluff, IL. The record was last updated on Aug 15, 2023.