Individual provider · Type 1 NPI

Cody Blake Dillon, PTA

Physical Therapy Assistant · Princeton, WV

NPI number 1174267751 Active

Practice location

1908 Glenwood Park Rd
Princeton, WV 24739-7969

Call (304) 323-2300 Map

Mailing address

526 White Pines Rd
Princeton, WV 24739-8750

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X002418 (WV)

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 1174267751

Cody Blake Dillon, PTA's National Provider Identifier is 1174267751, issued on Apr 21, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Princeton, WV. The record was last updated on Apr 21, 2022.