Individual provider · Type 1 NPI

Jacob A. Chavez, PTA

Physical Therapy Assistant · Fountain, CO

NPI number 1093538134 Active

Practice location

901 N Santa Fe Ave
Fountain, CO 80817-1738

Mailing address

1025 Jackson St
Pueblo, CO 81004-2471

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.0015038 (CO)

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 1093538134

Jacob A. Chavez, PTA's National Provider Identifier is 1093538134, issued on Nov 6, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fountain, CO. The record was last updated on Nov 6, 2024.