Individual provider · Type 1 NPI

Kelly Mauser, PTA

Physical Therapy Assistant · Kenosha, WI

NPI number 1508335472 Active

Practice location

3506 Washington Rd
Kenosha, WI 53144-1654

Mailing address

3311 23rd Ave
Kenosha, WI 53140-2120

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2550-19 (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 1508335472

Kelly Mauser, PTA's National Provider Identifier is 1508335472, issued on Nov 20, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kenosha, WI. The record was last updated on Nov 20, 2018.