Individual provider · Type 1 NPI

Mark Allen Medina, PTA10

Physical Therapy Assistant · Milwaukee, WI

NPI number 1023052099 Active

Practice location

3471 S Kansas Ave
Milwaukee, WI 53207-3654

Call (414) 486-1307 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0848-19 (WI)

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 1023052099

Mark Allen Medina, PTA10's National Provider Identifier is 1023052099, issued on Jun 16, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 6, 2013.