Individual provider · Type 1 NPI

Tracie Anne Vidas, PTA

Physical Therapy Assistant · Kenosha, WI

NPI number 1760742589 Active

Practice location

4313 Washington Rd
Kenosha, WI 53144-1501

Fax (262) 654-2800

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1101-19 (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 1760742589

Tracie Anne Vidas, PTA's National Provider Identifier is 1760742589, issued on May 26, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kenosha, WI. The record was last updated on May 26, 2012.