Individual provider · Type 1 NPI

Michael Mulligan, PTA

Physical Therapy Assistant · Beaverton, OR

NPI number 1104139229 Active

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460

Call (503) 526-7449 Map

Fax (503) 277-1365

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8670 (OR)

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 1104139229

Michael Mulligan, PTA's National Provider Identifier is 1104139229, issued on Jul 18, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 18, 2010.