Individual provider · Type 1 NPI

Lori Pettit, PTA

Physical Therapy Assistant · Pleasant Prairie, WI

NPI number 1376191908 Active

Practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947

Call (262) 612-2831 Map

Fax (262) 612-2893

Mailing address

7531 32nd Ave
Kenosha, WI 53142-4429

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2486-19 (WI)

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 1376191908

Lori Pettit, PTA's National Provider Identifier is 1376191908, issued on Aug 27, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Aug 27, 2019.