Individual provider · Type 1 NPI

Teri Jo Timonen, PTA

Physical Therapy Assistant · Superior, WI

NPI number 1780564518 Active

Practice location

1800 New York Ave
Superior, WI 54880-2008

Call (715) 394-5591 Map

Fax (715) 394-5098

Mailing address

PO Box 673, 4746 Tower Road
Moose Lake, MN 55767-0673

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XA3073 (MN)
Physical Therapy Assistant Primary 225200000X4307-19 (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 1780564518

Teri Jo Timonen, PTA's National Provider Identifier is 1780564518, issued on Sep 3, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Superior, WI. The record was last updated on Sep 3, 2025.