Individual provider · Type 1 NPI

Shanna Lea Pogue, PTA

Physical Therapy Assistant · Omaha, NE

NPI number 1104485168 Active

Practice location

4330 S 144th St
Omaha, NE 68137-1051

Call (402) 614-4000 Map

Fax (402) 885-6897

Mailing address

19156 W St
Omaha, NE 68135-4298

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNE151 (NE)

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 1104485168

Shanna Lea Pogue, PTA's National Provider Identifier is 1104485168, issued on Jun 12, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Omaha, NE. The record was last updated on Jun 12, 2019.