Individual provider · Type 1 NPI

Jamie Johnston Wilson, PTA

Physical Therapy Assistant · Salem, MO

NPI number 1114190576 Active

Practice location

Hwy 72 West
Salem, MO 65560

Mailing address

13295 County Road 5480
Rolla, MO 65401-5873

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2007017529 (MO)
Physical Therapy Assistant Primary 225200000X2007023425 (MO)
Registered Nurse 163W00000XNone listed
Physical Therapy Assistant 225200000XNone listed

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 1114190576

Jamie Johnston Wilson, PTA's National Provider Identifier is 1114190576, issued on Apr 8, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Salem, MO. The record was last updated on Apr 8, 2008.