Individual provider · Type 1 NPI

Shallin Rose Niemyjski, PTA

Physical Therapy Assistant · Lake Geneva, WI

NPI number 1053054692 Active

Practice location

211 S Curtis St
Lake Geneva, WI 53147-2052

Call (262) 248-3148 Map

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 1053054692

Shallin Rose Niemyjski, PTA's National Provider Identifier is 1053054692, issued on Apr 20, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Geneva, WI. The record was last updated on Apr 20, 2022.