Individual provider · Type 1 NPI

Chadd David Black, LPTA

Physical Therapy Assistant · Verona, WI

NPI number 1326680109 Active

Practice location

1049 N Edge Trl
Verona, WI 53593-1942

Call (608) 845-2100 Map

Mailing address

4711 Eisenhower St
Oregon, WI 53575-2817

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X520-19 (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 1326680109

Chadd David Black, LPTA's National Provider Identifier is 1326680109, issued on Oct 13, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Verona, WI. The record was last updated on Oct 13, 2019.