Individual provider · Type 1 NPI

Tara Sue Wynn, PTA

Physical Therapy Assistant · Springfield, IL

NPI number 1548439631 Active

Practice location

3631 S 6th St
Springfield, IL 62703-4777

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1548439631

Tara Sue Wynn, PTA's National Provider Identifier is 1548439631, issued on Feb 22, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Springfield, IL. The record was last updated on Feb 22, 2008.