Individual provider · Type 1 NPI

Tiffany Rachelle Shull, PTA

Physical Therapy Assistant · Arcola, IL

NPI number 1144701749 Active

Practice location

909 Green Mill Rd
Arcola, IL 61910-3527

Mailing address

308 N Missouri St
Toledo, IL 62468-1001

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007953 (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 …

About NPI 1144701749

Tiffany Rachelle Shull, PTA's National Provider Identifier is 1144701749, issued on Aug 22, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Arcola, IL. The record was last updated on Aug 22, 2018.