Individual provider · Type 1 NPI

Lacrisha Nicole Wheeler, PTA

Physical Therapy Assistant · Rockford, IL

NPI number 1780802074 Active

Practice location

1401 E State St
Rockford, IL 61104-2315

Fax (815) 490-5858

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 1780802074

Lacrisha Nicole Wheeler, PTA's National Provider Identifier is 1780802074, issued on Apr 23, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.