Individual provider · Type 1 NPI
Nichole Shannon Bliesner, PTA
Physical Therapy Assistant · Milwaukee, WI
Practice location
2448 S 102nd St, Ste. 340
Milwaukee, WI 53227-2466
Mailing address
1434 Blaine Ave
Racine, WI 53405-3310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 1561-19 (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 1043569833
Nichole Shannon Bliesner, PTA's National Provider Identifier is 1043569833, issued on Sep 7, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 7, 2012.