Individual provider · Type 1 NPI

Kerri Wiseman, PTA

Physical Therapy Assistant · Broomfield, CO

NPI number 1124374202 Active

Practice location

400 Summit Blvd
Broomfield, CO 80021-8300

Call (303) 466-2422 Map

Mailing address

1260 Kalmia Ave Apt 12
Boulder, CO 80304-1830

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X12739 (CO)

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 1124374202

Kerri Wiseman, PTA's National Provider Identifier is 1124374202, issued on Jul 26, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broomfield, CO. The record was last updated on Jul 26, 2012.