Individual provider · Type 1 NPI

Susan Irene Gillette, PTA

Physical Therapy Assistant · Shawano, WI

NPI number 1063149474 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Call (715) 526-7370 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3202-19 (WI)

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 1063149474

Susan Irene Gillette, PTA's National Provider Identifier is 1063149474, issued on Aug 4, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shawano, WI. The record was last updated on Aug 4, 2022.