Individual provider · Type 1 NPI

Mikaela Fahey

Physical Therapy Assistant · Glen Ellyn, IL

NPI number 1023691268 Active

Practice location

875 Roosevelt Rd
Glen Ellyn, IL 60137-6101

Call (630) 933-1500 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.008635 (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 1023691268

Mikaela Fahey's National Provider Identifier is 1023691268, issued on May 5, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Ellyn, IL. The record was last updated on May 5, 2021.