Individual provider · Type 1 NPI

Sara Marie Radke, PTA

Physical Therapy Assistant · Green Bay, WI

NPI number 1386916476 Active

Practice location

2305 San Luis Pl
Green Bay, WI 54304-5211

Call (920) 494-2817 Map

Mailing address

850 Centennial Centennial Centre Blvd., Apt. 83
Hobart, WI 54155

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1818-019 (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 1386916476

Sara Marie Radke, PTA's National Provider Identifier is 1386916476, issued on Feb 3, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Green Bay, WI. The record was last updated on Feb 3, 2012.