Individual provider · Type 1 NPI

Maryann Maude Ellery, PTA

Physical Therapy Assistant · Big Rapids, MI

NPI number 1164623153 Active

Practice location

805 West Ave
Big Rapids, MI 49307-9274

Mailing address

PO Box 412
Lake George, MI 48633-0412

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 1164623153

Maryann Maude Ellery, PTA's National Provider Identifier is 1164623153, issued on May 29, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Big Rapids, MI. The record was last updated on Jul 8, 2007.