Individual provider · Type 1 NPI

Russa Aussieker, PTA

Physical Therapy Assistant · Minonk, IL

NPI number 1497076103 Active

Practice location

201 Locust St
Minonk, IL 61760-1511

Fax (309) 432-3330

Mailing address

550 Frontage Rd, Suite 2415
Northfield, IL 60093-1202

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160003378 (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 1497076103

Russa Aussieker, PTA's National Provider Identifier is 1497076103, issued on Jun 16, 2010. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Minonk, IL. The record was last updated on Jun 16, 2010.