Individual provider · Type 1 NPI

Jennifer Waggoner, PTA

Physical Therapy Assistant · Phoenix, AZ

NPI number 1144409657 Active

Practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Call (480) 301-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0021A (AZ)

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 1144409657

Jennifer Waggoner, PTA's National Provider Identifier is 1144409657, issued on Oct 31, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 31, 2007.