Individual provider · Type 1 NPI

Kelly Niemeyer, PTA

Physical Therapy Assistant · Weston, WI

NPI number 1265100168 Active

Practice location

4810 Barbican Ave
Weston, WI 54476-4186

Call (715) 393-0419 Map

Mailing address

5157 N 28th Ave Apt 16
Wausau, WI 54401-8380

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3207-19 (WI)

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 1265100168

Kelly Niemeyer, PTA's National Provider Identifier is 1265100168, issued on Sep 3, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Weston, WI. The record was last updated on Mar 5, 2024.