Individual provider · Type 1 NPI

Tammy Luella Gagnon, PTA

Physical Therapy Assistant · Wautoma, WI

NPI number 1487953592 Active

Practice location

W6990 S Silver Lake Rd
Wautoma, WI 54982-5890

Mailing address

932 W 5th St
Nekoosa, WI 54457-1075

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1129-019 (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 1487953592

Tammy Luella Gagnon, PTA's National Provider Identifier is 1487953592, issued on Mar 16, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wautoma, WI. The record was last updated on Mar 16, 2011.