Individual provider · Type 1 NPI

Michael Edward Paddack, ATC, PTA, CPT

Physical Therapy Assistant · Mount Shasta, CA

NPI number 1720328271 Active

Practice location

1011 Rockfellow Dr
Mount Shasta, CA 96067-9404

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT4271 (CA)
Athletic Trainer 2255A2300XNone listed

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 1720328271

Michael Edward Paddack, ATC, PTA, CPT's National Provider Identifier is 1720328271, issued on Feb 20, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Shasta, CA. The record was last updated on Feb 20, 2013.