Individual provider · Type 1 NPI

Jason Detwiler

Physical Therapy Assistant · Boise, ID

NPI number 1275197667 Active

Practice location

2411 S Essex Way
Boise, ID 83709-2304

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00360700 (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 1275197667

Jason Detwiler's National Provider Identifier is 1275197667, issued on May 1, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boise, ID. The record was last updated on May 1, 2019.