Individual provider · Type 1 NPI

Vivianne Elizabeth Mallett, PTA, CES

Physical Therapy Assistant · Lebanon, NH

NPI number 1669302097 Active

Practice location

24 Old Etna Rd
Lebanon, NH 03766-1937

Mailing address

260 Jones Hill Rd
Enfield, NH 03748-3311

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2036 (NH)

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 1669302097

Vivianne Elizabeth Mallett, PTA, CES's National Provider Identifier is 1669302097, issued on May 19, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lebanon, NH. The record was last updated on May 19, 2026.