Individual provider · Type 1 NPI

Shawn Larae Peterson, PTA

Physical Therapy Assistant · Joplin, MO

NPI number 1407063555 Active

Practice location

4500 E 32nd St
Joplin, MO 64804

Call (417) 623-6287 Map

Fax (417) 623-3504

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X116146 (MO)

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 1407063555

Shawn Larae Peterson, PTA's National Provider Identifier is 1407063555, issued on May 17, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Joplin, MO. The record was last updated on Jul 8, 2007.