Individual provider · Type 1 NPI

Evelyn Kerrick Eldridge, PTA

Physical Therapy Assistant · Springfield, IL

NPI number 1730345703 Active

Practice location

3400 W Washington St
Springfield, IL 62711-7917

Mailing address

1501 S Pasfield St
Springfield, IL 62704-3711

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X150.002827 (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 1730345703

Evelyn Kerrick Eldridge, PTA's National Provider Identifier is 1730345703, issued on Jul 30, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Springfield, IL. The record was last updated on Jul 30, 2008.