Individual provider · Type 1 NPI

Matthew Stephen Atencio, PTA

Physical Therapy Assistant · Longview, WA

NPI number 1205096773 Active

Practice location

1500 3rd Ave
Longview, WA 98632-3229

Call (360) 423-8800 Map

Fax (360) 636-3421

Mailing address

3858 Pennsylvania St Apt 55
Longview, WA 98632-5236

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8310 (OR)

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 1205096773

Matthew Stephen Atencio, PTA's National Provider Identifier is 1205096773, issued on Jun 9, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Longview, WA. The record was last updated on Jun 9, 2008.