Individual provider · Type 1 NPI

Kelly J. Malmquist, PTA

Physical Therapy Assistant · Green Bay, WI

NPI number 1609922665 Active

Practice location

1040 Pilgrim Way
Green Bay, WI 54304-5028

Call (920) 405-3522 Map

Fax (920) 405-3523

Mailing address

360 Mark Court
Neenah, WI 54956

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1321019 (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 1609922665

Kelly J. Malmquist, PTA's National Provider Identifier is 1609922665, issued on Jan 25, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Green Bay, WI. The record was last updated on Apr 23, 2012.