Individual provider · Type 1 NPI

Kevin John Mansfield

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1376012054 Active

Practice location

630 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-8626

Call (800) 379-1600 Map

Mailing address

7586 Ransom St
Zeeland, MI 49464-9506

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502001704 (MI)

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 1376012054

Kevin John Mansfield's National Provider Identifier is 1376012054, issued on Nov 25, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 25, 2018.