Individual provider · Type 1 NPI

Jesse Dale Newman, PTA

Physical Therapy Assistant · Boise, ID

NPI number 1467914036 Active

Practice location

5909 W State St
Boise, ID 83703-3039

Call (208) 343-7700 Map

Fax (208) 331-2591

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-5990 (ID)

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 1467914036

Jesse Dale Newman, PTA's National Provider Identifier is 1467914036, issued on Apr 3, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boise, ID. The record was last updated on Nov 27, 2023.