Individual provider · Type 1 NPI
Kelley J. Bannerman, PTA
Physical Therapy Assistant · The Villages, FL
Practice location
768 Huey Ln
The Villages, FL 32162-7442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA29214 (FL) |
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 1073307005
Kelley J. Bannerman, PTA's National Provider Identifier is 1073307005, issued on Apr 7, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in The Villages, FL. The record was last updated on Apr 7, 2025.