Individual provider · Type 1 NPI

Jake Broscha

Physical Therapy Assistant · Centerville, SD

NPI number 1205216082 Active

Practice location

500 Vermillion St
Centerville, SD 57014-2168

Mailing address

805 E 15th St Apt 304
Yankton, SD 57078-5010

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0430 (SD)

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 …

9 other providers at this address

About NPI 1205216082

Jake Broscha's National Provider Identifier is 1205216082, issued on Jun 5, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Centerville, SD. The record was last updated on Jun 5, 2015.