Individual provider · Type 1 NPI

Jonnie Diederich, PTA

Physical Therapy Assistant · Reno, NV

NPI number 1750786406 Active

Practice location

1575 Robb Dr
Reno, NV 89523-3746

Fax (775) 827-1013

Mailing address

5200 Summit Ridge Dr, #5321
Reno, NV 89523-9014

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA-0728 (NV)
Physical Therapy Assistant 225200000X1954-19 (WI)
Physical Therapy Assistant 225200000X0013299 (CO)
Physical Therapy Assistant 225200000X09039 (OR)

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 1750786406

Jonnie Diederich, PTA's National Provider Identifier is 1750786406, issued on Oct 23, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Reno, NV. The record was last updated on Oct 23, 2014.