Individual provider · Type 1 NPI

Jessica Lynn Petty, PTA

Physical Therapy Assistant · St. Louis, MO

NPI number 1063071561 Active

Practice location

12826 Daylight Cir
St. Louis, MO 63131-1890

Mailing address

1450 Harness Rd
Festus, MO 63028-5402

Other practice locations

  • 12826 Daylight Cir, St. Louis, MO 63131-1890 · (314) 328-0441

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2016037457 (MO)

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 …

3 other providers at this address

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About NPI 1063071561

Jessica Lynn Petty, PTA's National Provider Identifier is 1063071561, issued on Jun 7, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 7, 2019.