Individual provider · Type 1 NPI

Jodie N. Long, PTA

Physical Therapy Assistant · Wichita, KS

NPI number 1265908792 Active

Practice location

3730 N Ridge Rd Ste 500
Wichita, KS 67205-1233

Fax (316) 440-4904

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1403196 (KS)

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 1265908792

Jodie N. Long, PTA's National Provider Identifier is 1265908792, issued on Oct 23, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wichita, KS. The record was last updated on Oct 23, 2018.