Individual provider · Type 1 NPI

Katelan Meredith King, PTA, CBIS

Physical Therapy Assistant · Rockford, IL

NPI number 1043975147 Active

Practice location

950 S Mulford Rd
Rockford, IL 61108-4274

Call (815) 381-8500 Map

Mailing address

12825 Prairie Meadow Way
Belvidere, IL 61008-8510

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160008275 (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 1043975147

Katelan Meredith King, PTA, CBIS's National Provider Identifier is 1043975147, issued on Nov 3, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rockford, IL. The record was last updated on Nov 3, 2021.