Individual provider · Type 1 NPI

Theresa Kay Odenthal, LPTA

Physical Therapy Assistant · St. Louis, MO

NPI number 1629320833 Active

Practice location

1 Childrens Pl
St. Louis, MO 63110-1002

Call (314) 454-6154 Map

Mailing address

517 S Rapp Ave
Columbia, IL 62236-2432

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X116067 (MO)

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 1629320833

Theresa Kay Odenthal, LPTA's National Provider Identifier is 1629320833, issued on Oct 11, 2012. 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 Oct 11, 2012.