Individual provider · Type 1 NPI

Crystal Moody, PTA

Physical Therapy Assistant · Munster, IN

NPI number 1174253595 Active

Practice location

10000 Columbia Ave
Munster, IN 46321-4041

Call (219) 934-0750 Map

Mailing address

3691 Baldwin St
Portage, IN 46368-3156

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004884A (IN)

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 1174253595

Crystal Moody, PTA's National Provider Identifier is 1174253595, issued on Jun 16, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Munster, IN. The record was last updated on Jun 16, 2022.