Individual provider · Type 1 NPI

Cody Conrad Merrill, PTA

Physical Therapy Assistant · Oregon, IL

NPI number 1356042386 Active

Practice location

811 S 10th St
Oregon, IL 61061-2129

Mailing address

405 Devonshire St
Dixon, IL 61021-1116

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160008092 (IL)

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 1356042386

Cody Conrad Merrill, PTA's National Provider Identifier is 1356042386, issued on Mar 16, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Oregon, IL. The record was last updated on Mar 16, 2023.