Individual provider · Type 1 NPI

Corey Phipps-Davisson

Physical Therapy Assistant · Portland, OR

NPI number 1073990891 Active

Practice location

319 NE Russet St
Portland, OR 97211-2815

Call (503) 289-5571 Map

Mailing address

2003 SW 6th St
Battle Ground, WA 98604-3016

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XP160548479 (WA)
Physical Therapy Assistant Primary 225200000X09165 (OR)

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 1073990891

Corey Phipps-Davisson's National Provider Identifier is 1073990891, issued on Apr 30, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Apr 30, 2015.