Individual provider · Type 1 NPI

Kimora Maxwell

Physical Therapy Assistant · St. Augustine, FL

NPI number 1497508071 Active

Practice location

1690 US Highway 1 S Ste F
St. Augustine, FL 32084-6024

Call (904) 634-0640 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA33169 (FL)

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 1497508071

Kimora Maxwell's National Provider Identifier is 1497508071, issued on Apr 11, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Augustine, FL. The record was last updated on Apr 11, 2024.