Individual provider · Type 1 NPI

Kelli Rae Desplinter, PTA

Physical Therapy Assistant · Annawan, IL

NPI number 1407170798 Active

Practice location

16142 E 2600 St
Annawan, IL 61234

Mailing address

16142 E 2600th St
Annawan, IL 61234-9533

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.004749 (IL)

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 …

About NPI 1407170798

Kelli Rae Desplinter, PTA's National Provider Identifier is 1407170798, issued on Mar 16, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Annawan, IL. The record was last updated on Mar 16, 2010.