Individual provider · Type 1 NPI

Kellie Ann Leavitt, PTA

Physical Therapy Assistant · Phoenix, AZ

NPI number 1417610437 Active

Practice location

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244

Mailing address

4930 W Tonto Rd
Glendale, AZ 85308-9222

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-014015 (AZ)

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 1417610437

Kellie Ann Leavitt, PTA's National Provider Identifier is 1417610437, issued on Oct 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 17, 2021.