Individual provider · Type 1 NPI

Chanell Dockery, PTA

Physical Therapy Assistant · Canton, MI

NPI number 1790335685 Active

Practice location

1747 N Canton Center Rd
Canton, MI 48187-2948

Call (734) 738-0000 Map

Fax (734) 738-0038

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502000542 (MI)

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 1790335685

Chanell Dockery, PTA's National Provider Identifier is 1790335685, issued on Sep 12, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Canton, MI. The record was last updated on Oct 14, 2026.