Individual provider · Type 1 NPI

Stephen Cornelison, PTA

Physical Therapy Assistant · Columbia, MO

NPI number 1194944629 Active

Practice location

1501 Tidewater Dr
Columbia, MO 65202-6425

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2001015505 (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 1194944629

Stephen Cornelison, PTA's National Provider Identifier is 1194944629, issued on Apr 24, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Columbia, MO. The record was last updated on May 22, 2008.