Individual provider · Type 1 NPI

Ellen Ferrenburg

Physical Therapy Assistant · Star, ID

NPI number 1770106502 Active

Practice location

64 S Star Rd
Star, ID 83669-5497

Mailing address

7719 W Preece Dr Apt 102
Boise, ID 83704-9088

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X6898 (ID)

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 1770106502

Ellen Ferrenburg's National Provider Identifier is 1770106502, issued on May 27, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Star, ID. The record was last updated on May 27, 2020.