Individual provider · Type 1 NPI

Kenneth Gustafson

Physical Therapy Assistant · Woodland Hills, CA

NPI number 1144640723 Active

Practice location

23888 Mulholland Drive, Ms # 270
Woodland Hills, CA 91364

Mailing address

5767 W Century Blvd, Suite 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 4143 (CA)

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 1144640723

Kenneth Gustafson's National Provider Identifier is 1144640723, issued on Apr 22, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodland Hills, CA. The record was last updated on Apr 22, 2014.