Individual provider · Type 1 NPI

Carol L. Blouch, PTA, ATC

Physical Therapy Assistant · Traverse City, MI

NPI number 1053566448 Active

Practice location

4045 W Royal Dr
Traverse City, MI 49684-8965

Call (231) 935-0900 Map

Fax (231) 935-0308

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed
Athletic Trainer 2255A2300XNone 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 1053566448

Carol L. Blouch, PTA, ATC's National Provider Identifier is 1053566448, issued on Nov 26, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Traverse City, MI. The record was last updated on Nov 26, 2008.