Individual provider · Type 1 NPI

Kristin Charleston, PTA

Physical Therapy Assistant · Mount Morris, IL

NPI number 1447898671 Active

Practice location

414 S Wesley Ave
Mount Morris, IL 61054-1428

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007379 (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 …

6 other providers at this address

About NPI 1447898671

Kristin Charleston, PTA's National Provider Identifier is 1447898671, issued on Dec 18, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Morris, IL. The record was last updated on Dec 18, 2019.