Individual provider · Type 1 NPI

Heather Lynn Bannister, PTA

Physical Therapy Assistant · Shawano, WI

NPI number 1578042297 Active

Practice location

1436 S Lincoln St
Shawano, WI 54166-3427

Call (715) 526-6111 Map

Mailing address

PO Box 247
Shawano, WI 54166-0247

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2836-19 (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 1578042297

Heather Lynn Bannister, PTA's National Provider Identifier is 1578042297, issued on Aug 13, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shawano, WI. The record was last updated on Aug 13, 2018.