Individual provider · Type 1 NPI

Glenn Marvin Campbell, OTRIL PTA

Physical Therapy Assistant · Elmendorf Afb, AK

NPI number 1619967148 Active

Practice location

5955 Zeamer Ave, 3rd Mdg
Elmendorf Afb, AK 99506-3702

Mailing address

7402 Metzger Ave, Unit A
Elmendorf Afb, AK 99506-2021

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE000241L (PA)
Occupational Therapist 225X00000XOC002460L (PA)

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 1619967148

Glenn Marvin Campbell, OTRIL PTA's National Provider Identifier is 1619967148, issued on Oct 26, 2005. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Elmendorf Afb, AK. The record was last updated on Jul 13, 2026.