Individual provider · Type 1 NPI

Mary Kay Rose, P.T.A.

Physical Therapy Assistant · Woodbury, MN

NPI number 1316277148 Active

Practice location

215 Radio Dr
Woodbury, MN 55125-5815

Call (612) 596-6100 Map

Fax (612) 339-5954

Mailing address

P.o. Box 209036, Shriners Hospitals For Children R Twin Cities
Dallas, TX 75320-9036

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA1132 (MN)

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 1316277148

Mary Kay Rose, P.T.A.'s National Provider Identifier is 1316277148, issued on Dec 29, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodbury, MN. The record was last updated on Dec 17, 2020.