Individual provider · Type 1 NPI

Kyle Rudderow

Physical Therapy Assistant · Sebastopol, CA

NPI number 1477200962 Active

Practice location

100 Pleasant Hill Ave N
Sebastopol, CA 95472-3104

Fax (707) 829-3287

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA47987 (CA)

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 1477200962

Kyle Rudderow's National Provider Identifier is 1477200962, issued on Mar 4, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sebastopol, CA. The record was last updated on Mar 4, 2022.