Individual provider · Type 1 NPI

Kathyren Marie Southerland, PTA

Physical Therapy Assistant · Owensville, MO

NPI number 1083083729 Active

Practice location

1910 Nursing Home Rd
Owensville, MO 65066-2844

Mailing address

3456 Klemme Rd
Gerald, MO 63037-1727

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2007023630 (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 …

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About NPI 1083083729

Kathyren Marie Southerland, PTA's National Provider Identifier is 1083083729, issued on Sep 23, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Owensville, MO. The record was last updated on Sep 23, 2015.