Individual provider · Type 1 NPI

Jaclyn Leigh Stahl, PTA

Physical Therapy Assistant · Lake Bluff, IL

NPI number 1467832089 Active

Practice location

101 Waukegan Rd Ste 1100
Lake Bluff, IL 60044-3012

Fax (847) 247-2405

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005959 (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 1467832089

Jaclyn Leigh Stahl, PTA's National Provider Identifier is 1467832089, issued on Jun 9, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lake Bluff, IL. The record was last updated on Jan 11, 2018.