Individual provider · Type 1 NPI

Johnathan Holman, PTA

Physical Therapy Assistant · Bloomer, WI

NPI number 1114255064 Active

Practice location

1402 Main St, Box 176
Bloomer, WI 54724-1637

Call (715) 568-4669 Map

Fax (715) 568-4673

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1216-019 (WI)

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 1114255064

Johnathan Holman, PTA's National Provider Identifier is 1114255064, issued on Dec 3, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bloomer, WI. The record was last updated on Dec 3, 2009.