Individual provider · Type 1 NPI
Amy Kathryn Vandetta, PTA, ATC
Physical Therapy Assistant · Sweet Home, OR
Practice location
646 Holley Rd
Sweet Home, OR 97386-3344
Fax (541) 451-6278
Mailing address
38444 River Dr
Lebanon, OR 97355-9318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 8079 (OR) |
| Athletic Trainer | 2255A2300X | AT-AT-120868 (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 …
Another provider at this address
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About NPI 1538299524
Amy Kathryn Vandetta, PTA, ATC's National Provider Identifier is 1538299524, issued on Mar 7, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sweet Home, OR. The record was last updated on Sep 11, 2025.