Individual provider · Type 1 NPI

Kraig Moultrie, P.T.A.

Physical Therapy Assistant · Omaha, NE

NPI number 1255574059 Active

Practice location

11623 Arbor St
Omaha, NE 68144-2981

Call (402) 334-1919 Map

Mailing address

14 Marshall St, Apt. 10R
Irvington, NJ 07111-3656

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00258900 (NJ)

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 1255574059

Kraig Moultrie, P.T.A.'s National Provider Identifier is 1255574059, issued on Apr 9, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Omaha, NE. The record was last updated on Apr 9, 2009.