Individual provider · Type 1 NPI

Angelia Grace Kidwell, PTA

Physical Therapy Assistant · Monticello, AR

NPI number 1265947154 Active

Practice location

168 W College Ave
Monticello, AR 71655-4820

Call (870) 367-4333 Map

Mailing address

207 N Farmville Rd
Hermitage, AR 71647-9390

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA980 (AR)

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 1265947154

Angelia Grace Kidwell, PTA's National Provider Identifier is 1265947154, issued on Dec 13, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Monticello, AR. The record was last updated on Dec 13, 2017.