Individual provider · Type 1 NPI

Sierra Domerese, PTA

Physical Therapy Assistant · Russellville, AR

NPI number 1760151310 Active

Practice location

1915 W Main St
Russellville, AR 72801-2725

Call (479) 968-1198 Map

Mailing address

500 E 3rd St
Russellville, AR 72801-5204

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 1760151310

Sierra Domerese, PTA's National Provider Identifier is 1760151310, issued on Sep 8, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Russellville, AR. The record was last updated on Sep 8, 2021.