Individual provider · Type 1 NPI

Feruza Yurdanidze

Physical Therapy Assistant · Ballwin, MO

NPI number 1174249700 Active

Practice location

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309

Mailing address

2516 Cardinal Creek Ct
St. Louis, MO 63129-4660

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2022013533 (MO)

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 1174249700

Feruza Yurdanidze's National Provider Identifier is 1174249700, issued on Oct 14, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ballwin, MO. The record was last updated on Oct 14, 2022.