Individual provider · Type 1 NPI

Tanya M. Goeller, PTA

Physical Therapy Assistant · South Bend, IN

NPI number 1174720650 Active

Practice location

1950 Ridgedale Rd
South Bend, IN 46614-2243

Call (574) 291-6722 Map

Mailing address

814 W Mishawaka Ave
Mishawaka, IN 46545-6009

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002369A (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 1174720650

Tanya M. Goeller, PTA's National Provider Identifier is 1174720650, issued on Jun 28, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Bend, IN. The record was last updated on Jul 8, 2007.