Individual provider · Type 1 NPI

Kalissa J. Johnson, PTA

Physical Therapy Assistant · Vincennes, IN

NPI number 1376739318 Active

Practice location

2121 Willow St
Vincennes, IN 47591-5355

Fax (812) 255-0045

Mailing address

7300 E Indiana St, Suite 102
Evansville, IN 47715-2794

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002492A (IN)

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 1376739318

Kalissa J. Johnson, PTA's National Provider Identifier is 1376739318, issued on Sep 24, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Vincennes, IN. The record was last updated on Sep 24, 2007.