Individual provider · Type 1 NPI

Mallory Lynn Damon, PTA

Physical Therapy Assistant · Ellinwood, KS

NPI number 1376189233 Active

Practice location

510 W 7th St
Ellinwood, KS 67526-1101

Mailing address

215 S Washington Ave
Great Bend, KS 67530-9657

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1403411 (KS)

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 1376189233

Mallory Lynn Damon, PTA's National Provider Identifier is 1376189233, issued on Nov 25, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ellinwood, KS. The record was last updated on Nov 25, 2019.