Individual provider · Type 1 NPI

Ivan Villagrana-Fraire

Physical Therapy Assistant · Overland Park, KS

NPI number 1124480629 Active

Practice location

6400 Glenwood St Ste 111
Overland Park, KS 66202-4014

Mailing address

6201 Longwood Ave
Kansas City, KS 66104-1942

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14--02-995 (KS)

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 1124480629

Ivan Villagrana-Fraire's National Provider Identifier is 1124480629, issued on Mar 23, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Overland Park, KS. The record was last updated on Mar 23, 2016.