Individual provider · Type 1 NPI

Evelyn - Johnson, PTA

Physical Therapy Assistant · Cedarburg, WI

NPI number 1316168115 Active

Practice location

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Fax (262) 376-5208

Mailing address

2203 N 106th St
Wauwatosa, WI 53226-2318

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X50019 (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 1316168115

Evelyn - Johnson, PTA's National Provider Identifier is 1316168115, issued on May 1, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cedarburg, WI. The record was last updated on Jul 8, 2007.