Individual provider · Type 1 NPI

Derick Page, PTA

Physical Therapy Assistant · Cheyenne, WY

NPI number 1629270624 Active

Practice location

1330 Prairie Ave
Cheyenne, WY 82009-4842

Call (307) 778-8997 Map

Mailing address

8132 Old Tavern Rd
Roanoke, VA 24019-6807

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306001374 (VA)

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 1629270624

Derick Page, PTA's National Provider Identifier is 1629270624, issued on Jun 1, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 8, 2007.