Individual provider · Type 1 NPI

Kris Desotelle, PTA

Physical Therapy Assistant · Brookfield, WI

NPI number 1457442899 Active

Practice location

17280 W North Ave, #104
Brookfield, WI 53045-4366

Fax (262) 780-0717

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1323 (WI)

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 1457442899

Kris Desotelle, PTA's National Provider Identifier is 1457442899, issued on Sep 28, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Brookfield, WI. The record was last updated on Jul 8, 2007.