Individual provider · Type 1 NPI

Jessi B. Shane, PTA

Physical Therapy Assistant · Centerview, MO

NPI number 1174363055 Active

Practice location

386 SW 811th Rd
Centerview, MO 64019-9291

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2024003807 (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 …

About NPI 1174363055

Jessi B. Shane, PTA's National Provider Identifier is 1174363055, issued on May 29, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Centerview, MO. The record was last updated on May 29, 2024.