Individual provider · Type 1 NPI

Shelby Rae Jimenez, PTA

Physical Therapy Assistant · Wasilla, AK

NPI number 1720568611 Active

Practice location

3190 E Meridian Park Loop Ste 206A
Wasilla, AK 99654-7422

Fax (907) 373-9463

Mailing address

4130 N Preston Ave
Wasilla, AK 99654-1352

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X116806 (AK)

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 1720568611

Shelby Rae Jimenez, PTA's National Provider Identifier is 1720568611, issued on Aug 20, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wasilla, AK. The record was last updated on Aug 20, 2018.