Individual provider · Type 1 NPI

Charliey Amber Staab

Physical Therapy Assistant · Merriam, KS

NPI number 1508287772 Active

Practice location

10000 W 75th St Ste 250
Merriam, KS 66204-2218

Mailing address

11307 W 65th St Apt 102
Shawnee, KS 66203-5514

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X14-02715 (KS)

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 1508287772

Charliey Amber Staab's National Provider Identifier is 1508287772, issued on Dec 13, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Merriam, KS. The record was last updated on Oct 8, 2014.