Individual provider · Type 1 NPI

Shane Wallen

Physical Therapy Assistant · Warsaw, IN

NPI number 1346660370 Active

Practice location

900 Provident Dr
Warsaw, IN 46580-3252

Call (574) 371-2779 Map

Mailing address

2069 E Wade Rd
Warsaw, IN 46580-7697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004508A (IN)

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 1346660370

Shane Wallen's National Provider Identifier is 1346660370, issued on Apr 17, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Warsaw, IN. The record was last updated on Apr 24, 2014.