Individual provider · Type 1 NPI

Charles Wayne Robertson, PTA

Physical Therapy Assistant · Poplar Bluff, MO

NPI number 1174772495 Active

Practice location

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346

Call (573) 778-9348 Map

Fax (573) 778-3463

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2000161109 (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 1174772495

Charles Wayne Robertson, PTA's National Provider Identifier is 1174772495, issued on Sep 10, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 10, 2008.