Individual provider · Type 1 NPI

Nathan A. Richardson, PTA

Physical Therapy Assistant · Glen Carbon, IL

NPI number 1457019986 Active

Practice location

400 S Station Rd
Glen Carbon, IL 62034-2743

Call (618) 288-5014 Map

Mailing address

409 W Wall St
Mulberry Grove, IL 62262-1017

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.008987 (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 …

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About NPI 1457019986

Nathan A. Richardson, PTA's National Provider Identifier is 1457019986, issued on Dec 1, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Carbon, IL. The record was last updated on Dec 1, 2021.