Individual provider · Type 1 NPI

Shannon Dee Stoddard, PTA

Physical Therapy Assistant · Keizer, OR

NPI number 1508048695 Active

Practice location

5300 River Rd N
Keizer, OR 97303-4428

Call (503) 570-3665 Map

Fax (503) 570-9155

Mailing address

275 Lakepoint Pl N, Apt 334
Keizer, OR 97303-8317

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8017 (OR)

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 1508048695

Shannon Dee Stoddard, PTA's National Provider Identifier is 1508048695, issued on Nov 29, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Keizer, OR. The record was last updated on Nov 29, 2007.