Individual provider · Type 1 NPI

Mary Angelique Klondike

Physical Therapy Assistant · Louisville, KY

NPI number 1285985903 Active

Practice location

3594 Springhurst Blvd
Louisville, KY 40241-4141

Call (502) 339-4700 Map

Fax (502) 339-7050

Mailing address

8004 Ashdowne Ct
Prospect, KY 40059-9430

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA00183 (KY)

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 1285985903

Mary Angelique Klondike's National Provider Identifier is 1285985903, issued on Sep 20, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Louisville, KY. The record was last updated on Sep 27, 2012.