Individual provider · Type 1 NPI
Susan Deborah Konkle, PTA
Geriatric Physical Therapist · Appleton, WI
Practice location
1335 S Oneida St
Appleton, WI 54915-1351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 530-019 (WI) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
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About NPI 1619317468
Susan Deborah Konkle, PTA's National Provider Identifier is 1619317468, issued on Jun 26, 2013. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Appleton, WI. The record was last updated on Oct 25, 2018.