Individual provider · Type 1 NPI

Kimberly Larson, PTA

Physical Therapy Assistant · Long Grove, IA

NPI number 1780003160 Active

Practice location

30980 Scott Park Rd Trlr 72
Long Grove, IA 52756-9641

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X01072 (IA)
Physical Therapy Assistant 225200000X160004520 (IL)
Physical Therapy Assistant 225200000X2014009194 (MO)

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 …

About NPI 1780003160

Kimberly Larson, PTA's National Provider Identifier is 1780003160, issued on Apr 14, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Long Grove, IA. The record was last updated on Apr 14, 2014.