Individual provider · Type 1 NPI

Kyle Fardanesh

Physical Therapy Assistant · Elk Grove, CA

NPI number 1043762305 Active

Practice location

9105 Four Seasons Dr
Elk Grove, CA 95624-1288

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 1043762305

Kyle Fardanesh's National Provider Identifier is 1043762305, issued on Nov 2, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Elk Grove, CA. The record was last updated on Nov 2, 2016.