Individual provider · Type 1 NPI

Marlena Wake

Physical Therapy Assistant · Jackson, TN

NPI number 1093448318 Active

Practice location

614 Carriage House Dr
Jackson, TN 38305-4238

Fax (731) 660-8739

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8077 (TN)

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 1093448318

Marlena Wake's National Provider Identifier is 1093448318, issued on Jul 5, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jackson, TN. The record was last updated on Jul 5, 2022.