Individual provider · Type 1 NPI

Kelly Jo Maxwell

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1295032142 Active

Practice location

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	L1680636 (MI)

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 1295032142

Kelly Jo Maxwell's National Provider Identifier is 1295032142, issued on Feb 11, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 11, 2011.