Individual provider · Type 1 NPI

Tamie Lee Fullerton, PTA

Physical Therapy Assistant · Milwaukee, WI

NPI number 1629100607 Active

Practice location

4560 SE International Way, Suite 100 Consonus Healthcare Services
Milwaukee, WI 97222

Call (971) 206-5129 Map

Fax (971) 206-5209

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X6084 (CA)

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 1629100607

Tamie Lee Fullerton, PTA's National Provider Identifier is 1629100607, issued on Mar 12, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.