Individual provider · Type 1 NPI

Mackenzie Marie Krom, PTA

Physical Therapy Assistant · Wallingford, CT

NPI number 1659505733 Active

Practice location

22 Masonic Ave
Wallingford, CT 06492-3048

Call (203) 679-5900 Map

Mailing address

PO Box 70
Wallingford, CT 06492-7001

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X000954 (CT)

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 1659505733

Mackenzie Marie Krom, PTA's National Provider Identifier is 1659505733, issued on May 5, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wallingford, CT. The record was last updated on May 5, 2009.