Individual provider · Type 1 NPI

Jayme Ellen Vaughan, PTA

Physical Therapy Assistant · Green Bay, WI

NPI number 1790110104 Active

Practice location

1040 Pilgrim Way
Green Bay, WI 54304-5028

Mailing address

1307 Valley View Rd
Green Bay, WI 54304-4036

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2041-19 (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 1790110104

Jayme Ellen Vaughan, PTA's National Provider Identifier is 1790110104, issued on Sep 5, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Green Bay, WI. The record was last updated on Sep 9, 2022.