Individual provider · Type 1 NPI

Kylee Nusbaum, PTA

Physical Therapy Assistant · Lake Havasu City, AZ

NPI number 1093082836 Active

Practice location

1948 Mesquite Ave, Suite 101
Lake Havasu City, AZ 86403-5777

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9592 (AZ)

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 1093082836

Kylee Nusbaum, PTA's National Provider Identifier is 1093082836, issued on Nov 22, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Nov 22, 2011.