Individual provider · Type 1 NPI

Grace Catherine Punke, PTA

Physical Therapy Assistant · Canton, IL

NPI number 1366317430 Active

Practice location

180 S Main St
Canton, IL 61520-2608

Call (309) 647-5240 Map

Mailing address

1505 N Autumn Ln
Peoria, IL 61604-4601

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.010243 (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 1366317430

Grace Catherine Punke, PTA's National Provider Identifier is 1366317430, issued on Oct 8, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Canton, IL. The record was last updated on Oct 8, 2025.