Individual provider · Type 1 NPI

Amy Carroll, PTA

Physical Therapy Assistant · Lake Geneva, WI

NPI number 1306126115 Active

Practice location

N2950 State Road 67
Lake Geneva, WI 53147-2655

Mailing address

4401 N Main St
Rockford, IL 61103-1277

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X1820-19 (WI)
Physical Therapy Assistant Primary 225200000X160005984 (IL)

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 1306126115

Amy Carroll, PTA's National Provider Identifier is 1306126115, issued on Aug 24, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Geneva, WI. The record was last updated on Aug 29, 2012.