Individual provider · Type 1 NPI

Mariah Roush, PTA

Physical Therapy Assistant · Lake Havasu City, AZ

NPI number 1104424449 Active

Practice location

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

Call (928) 854-4776 Map

Fax (928) 854-4857

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA011894 (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 1104424449

Mariah Roush, PTA's National Provider Identifier is 1104424449, issued on Oct 9, 2020. 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 Oct 9, 2020.