Individual provider · Type 1 NPI

Samantha Lyn Fetterer, PTA

Physical Therapy Assistant · Sheboygan, WI

NPI number 1740492404 Active

Practice location

2629 N 7th St
Sheboygan, WI 53083-4932

Call (920) 451-5550 Map

Fax (920) 451-5664

Mailing address

2120 Broadway Avenue
Sheboygan, WI 53081

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X74-019 (WI)

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 1740492404

Samantha Lyn Fetterer, PTA's National Provider Identifier is 1740492404, issued on May 4, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sheboygan, WI. The record was last updated on Oct 30, 2007.