Individual provider · Type 1 NPI

Nicholas Penner

Physical Therapy Assistant · Las Cruces, NM

NPI number 1699480673 Active

Practice location

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304

Call (575) 523-4573 Map

Mailing address

5031 Westfield Dr NE
Rio Rancho, NM 87144-6564

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XNone listed
Physical Therapy Assistant 225200000XNone listed
Physical Therapy Assistant Primary 225200000XPTA1599 (NM)

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 1699480673

Nicholas Penner's National Provider Identifier is 1699480673, issued on Jan 13, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 2, 2023.