Individual provider · Type 1 NPI

Jackie Wilmoth

Physical Therapy Assistant · Winston Salem, NC

NPI number 1255679155 Active

Practice location

849 Waterworks Rd
Winston Salem, NC 27101-1956

Call (336) 595-2166 Map

Mailing address

100 Kerney Trl
Thurmond, NC 28683-9571

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA4893 (NC)

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 1255679155

Jackie Wilmoth's National Provider Identifier is 1255679155, issued on Jan 28, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 28, 2013.