Individual provider · Type 1 NPI

Jenelle Conover, PTA

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1124592233 Active

Practice location

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811

Call (616) 438-2425 Map

Mailing address

6884 Byron Lakes Dr SW Apt 1B
Byron Center, MI 49315-9766

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X5502004636 (MI)
Physical Therapy Assistant Primary 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 1124592233

Jenelle Conover, PTA's National Provider Identifier is 1124592233, issued on Jan 11, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 11, 2019.