Individual provider · Type 1 NPI

Samantha Bruesch, PTA

Physical Therapy Assistant · New Lenox, IL

NPI number 1699216812 Active

Practice location

1870 Silver Cross Blvd Ste 200
New Lenox, IL 60451-8646

Call (815) 463-5324 Map

Fax (815) 462-4004

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.007691 (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 1699216812

Samantha Bruesch, PTA's National Provider Identifier is 1699216812, issued on Mar 20, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New Lenox, IL. The record was last updated on Mar 17, 2023.