Individual provider · Type 1 NPI

Tyler Doughty

Physical Therapy Assistant · Mattoon, IL

NPI number 1467869990 Active

Practice location

1213 Annis Ave
Mattoon, IL 61938-6016

Call (217) 246-7963 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006046 (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 1467869990

Tyler Doughty's National Provider Identifier is 1467869990, issued on Jul 16, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mattoon, IL. The record was last updated on Jul 16, 2014.