Individual provider · Type 1 NPI

Susan Russel

Physical Therapy Assistant · Cedar Lake, IN

NPI number 1184030280 Active

Practice location

10915 W 133rd Ave
Cedar Lake, IN 46303-9706

Call (219) 390-7498 Map

Fax (219) 390-7549

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004488A (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 1184030280

Susan Russel's National Provider Identifier is 1184030280, issued on Jul 9, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cedar Lake, IN. The record was last updated on Jul 9, 2014.