Individual provider · Type 1 NPI

Mallory Mae Leanna

Physical Therapy Assistant · Appleton, WI

NPI number 1336510403 Active

Practice location

325 E Florida Ave
Appleton, WI 54911-1325

Call (920) 731-7310 Map

Fax (920) 733-3050

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2376-19 (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 1336510403

Mallory Mae Leanna's National Provider Identifier is 1336510403, issued on Oct 14, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Appleton, WI. The record was last updated on Nov 4, 2024.