Individual provider · Type 1 NPI

Melanie Sullivan

Physical Therapy Assistant · Johnston, IA

NPI number 1093163404 Active

Practice location

6866 Jack London Dr
Johnston, IA 50131-4755

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X074902 (IA)

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 1093163404

Melanie Sullivan's National Provider Identifier is 1093163404, issued on May 25, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Johnston, IA. The record was last updated on May 25, 2016.