Individual provider · Type 1 NPI

Shannon Stacey Harmon, PTA

Physical Therapy Assistant · Montello, WI

NPI number 1396966560 Active

Practice location

251 Forest Lane
Montello, WI 53949

Mailing address

N1250 34th Road
Berlin, WI 54923

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X87-019 (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 1396966560

Shannon Stacey Harmon, PTA's National Provider Identifier is 1396966560, issued on May 2, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Montello, WI. The record was last updated on Jul 8, 2007.