Individual provider · Type 1 NPI

Daniel Pulliam, PTA

Physical Therapy Assistant · St. Louis, MO

NPI number 1619446952 Active

Practice location

4005 Ripa Ave
St. Louis, MO 63125-2378

Call (314) 544-1111 Map

Mailing address

5751 Lansdowne Ave
St. Louis, MO 63109-1529

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1619446952

Daniel Pulliam, PTA's National Provider Identifier is 1619446952, issued on Nov 15, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2018.