Individual provider · Type 1 NPI

Kelly Marie Wood, PTA

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1750640801 Active

Practice location

933 3 Mile Rd NW Ste 110
Grand Rapids, MI 49544-1673

Call (616) 785-2619 Map

Fax (616) 785-2623

Mailing address

3630 Cobblefield Cir SE Apt 10
Caledonia, MI 49316-7672

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003518 (MI)

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 1750640801

Kelly Marie Wood, PTA's National Provider Identifier is 1750640801, issued on May 10, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 10, 2012.