Individual provider · Type 1 NPI

Sue Willis, PTA

Physical Therapy Assistant · Peoria, IL

NPI number 1154512291 Active

Practice location

7725 N Knoxville Ave
Peoria, IL 61614-2079

Call (309) 693-9189 Map

Fax (309) 693-9946

Specialties and licenses

TaxonomyCodeLicense
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 1154512291

Sue Willis, PTA's National Provider Identifier is 1154512291, issued on Aug 5, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Peoria, IL. The record was last updated on Aug 5, 2007.