Individual provider · Type 1 NPI
Mark R. Tisdale, PTA
Physical Therapy Assistant · Kenosha, WI
Practice location
10400 75th Street
Kenosha, WI 53142
Fax (262) 948-7331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 897-019 (WI) |
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 …
3 other providers at this address
Other physical therapy assistant providers in Kenosha
- Amanda Lynn Scharninghausen, PTAPhysical Therapy Assistant Kenosha, WI NPI 1013156876
- Tammy Marie Czarnecki, PTAPhysical Therapy Assistant Kenosha, WI NPI 1013216829
- Deanna M. Huff-Ricchio, PTAPhysical Therapy Assistant Kenosha, WI NPI 1013407444
- Patrick Willems, P.T.A.Physical Therapy Assistant Kenosha, WI NPI 1033386180
- Theresa Joy Schwer, PTAPhysical Therapy Assistant Kenosha, WI NPI 1053823146
- Brian Thomas SimrakPhysical Therapy Assistant Kenosha, WI NPI 1073386579
- Jacelyn Ann Marciniak, P.T.A.Physical Therapy Assistant Kenosha, WI NPI 1073839056
- Michael Eric Guziak, PTAPhysical Therapy Assistant Kenosha, WI NPI 1093915860
About NPI 1154626745
Mark R. Tisdale, PTA's National Provider Identifier is 1154626745, issued on Jan 13, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kenosha, WI. The record was last updated on Jan 13, 2011.