Individual provider · Type 1 NPI

Jeannie Marie Mattox, PTA

Physical Therapy Assistant · Plummer, ID

NPI number 1205503539 Active

Practice location

1100 A Street
Plummer, ID 83851

Mailing address

PO Box 516
Plummer, ID 83851-0516

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-6401 (ID)

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 1205503539

Jeannie Marie Mattox, PTA's National Provider Identifier is 1205503539, issued on Aug 25, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Plummer, ID. The record was last updated on Aug 25, 2021.