Individual provider · Type 1 NPI

Kestrel C. Denneau, PTA

Physical Therapy Assistant · Rockford, IL

NPI number 1124756192 Active

Practice location

4401 N Main St
Rockford, IL 61103-1277

Call (815) 921-9200 Map

Mailing address

1257 Willard Ave
Rockford, IL 61101-2462

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160008477 (IL)

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 1124756192

Kestrel C. Denneau, PTA's National Provider Identifier is 1124756192, issued on Aug 9, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rockford, IL. The record was last updated on Aug 9, 2022.