Individual provider · Type 1 NPI

Cassidy Lee Blundy, PTA

Physical Therapy Assistant · Bridgeton, MO

NPI number 1124216064 Active

Practice location

3431 Bridgeland Dr
Bridgeton, MO 63044-2604

Call (314) 373-2095 Map

Fax (314) 373-2096

Mailing address

4850 Lemay Ferry Rd, Suite 101
St. Louis, MO 63129-1576

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2007028760 (MO)

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 1124216064

Cassidy Lee Blundy, PTA's National Provider Identifier is 1124216064, issued on Oct 4, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 4, 2007.