Individual provider · Type 1 NPI
Jackie Louise Moffenbier, PTA
Physical Therapy Assistant · Portland, OR
Practice location
6010 SW Shattuck Rd.
Portland, OR 97221
Fax (503) 246-9957
Mailing address
4560 SE International Way, Ste. 100
Milwaukie, OR 97222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 07104 (OR) |
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 …
3 other providers at this address
Other physical therapy assistant providers in Portland
- Jana Lynn Port, PTAPhysical Therapy Assistant Portland, OR NPI 1013939511
- Christina TrangPhysical Therapy Assistant Portland, OR NPI 1023708922
- James Bayles, LPTA, CPT, SFPhysical Therapy Assistant Portland, OR NPI 1023766847
- Jennifer Lyn Edmonds, PTAPhysical Therapy Assistant Portland, OR NPI 1033847025
- Jennifer Ann Oliver, LPTAPhysical Therapy Assistant Portland, OR NPI 1043466493
- Maximilian TorresPhysical Therapy Assistant Portland, OR NPI 1063996312
- Corey Phipps-DavissonPhysical Therapy Assistant Portland, OR NPI 1073990891
- Sandra Eberwein, PTAPhysical Therapy Assistant Portland, OR NPI 1083013262
About NPI 1336405075
Jackie Louise Moffenbier, PTA's National Provider Identifier is 1336405075, issued on Apr 6, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Apr 6, 2012.