Individual provider · Type 1 NPI

Jon Mark Wahlstrom, PTA

Physical Therapy Assistant · Puyallup, WA

NPI number 1033583182 Active

Practice location

7604 145th Street Ct E
Puyallup, WA 98375-7095

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP160038469 (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 1033583182

Jon Mark Wahlstrom, PTA's National Provider Identifier is 1033583182, issued on Nov 29, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Puyallup, WA. The record was last updated on Nov 29, 2015.