Individual provider · Type 1 NPI

Kayla Jane Breedlove

Physical Therapy Assistant · Normal, IL

NPI number 1629736079 Active

Practice location

901 N Main St
Normal, IL 61761-1501

Mailing address

117 S Chestnut St
Le Roy, IL 61752-1782

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160009226 (IL)

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 1629736079

Kayla Jane Breedlove's National Provider Identifier is 1629736079, issued on Dec 2, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Normal, IL. The record was last updated on Dec 2, 2021.