Individual provider · Type 1 NPI

Debra Lynn Kodada, PTA

Physical Therapy Assistant · Burnsville, MN

NPI number 1740347400 Active

Practice location

201 E Nicollet Blvd
Burnsville, MN 55337-5714

Mailing address

503 4th Ave SW
Lonsdale, MN 55046-9310

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone 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 1740347400

Debra Lynn Kodada, PTA's National Provider Identifier is 1740347400, issued on Jan 2, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Burnsville, MN. The record was last updated on Jul 8, 2007.