Individual provider · Type 1 NPI
Russell Allan Reavely, LPTA
Physical Therapy Assistant · Quincy, WA
Practice location
910 10th St SE
Quincy, WA 98810
Mailing address
908 10th Ave SW
Quincy, WA 98848-1376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 60065774 (WA) |
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 1447836150
Russell Allan Reavely, LPTA's National Provider Identifier is 1447836150, issued on Mar 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Quincy, WA. The record was last updated on Mar 23, 2021.