Individual provider · Type 1 NPI

Lisa A. Krackow, PTA

Physical Therapy Assistant · Roanoke, VA

NPI number 1609047075 Active

Practice location

1421 3rd St SW
Roanoke, VA 24016-5204

Call (540) 982-2208 Map

Fax (540) 982-7637

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306001639 (VA)

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 1609047075

Lisa A. Krackow, PTA's National Provider Identifier is 1609047075, issued on Mar 13, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Roanoke, VA. The record was last updated on Mar 13, 2008.