Individual provider · Type 1 NPI

Bonita Lynn Despain, PTA

Physical Therapy Assistant · International Falls, MN

NPI number 1588033658 Active

Practice location

2201 Keenan Dr
International Falls, MN 56649-2152

Mailing address

422 7th St # 1
International Falls, MN 56649-2619

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X2015026804 (MO)
Physical Therapy Assistant 225200000X160.005650 (IL)
Physical Therapy Assistant Primary 225200000XA2779 (MN)

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 1588033658

Bonita Lynn Despain, PTA's National Provider Identifier is 1588033658, issued on Sep 18, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in International Falls, MN. The record was last updated on May 25, 2022.