Individual provider · Type 1 NPI

Penny Peterson, PTA

Physical Therapy Assistant · West Salem, WI

NPI number 1285796268 Active

Practice location

713 N Leonard St
West Salem, WI 54669-1229

Mailing address

W7812 Amsterdam Prairie Rd
Holmen, WI 54636-9394

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X60-019 (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 1285796268

Penny Peterson, PTA's National Provider Identifier is 1285796268, issued on Dec 15, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in West Salem, WI. The record was last updated on Jul 8, 2007.