Individual provider · Type 1 NPI
Jared Clive Sansom, PTA
Physical Therapy Assistant · Boise, ID
Practice location
3352 N Kingswood Way
Boise, ID 83704-4385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA-4725 (ID) |
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 1790359594
Jared Clive Sansom, PTA's National Provider Identifier is 1790359594, issued on May 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boise, ID. The record was last updated on May 17, 2021.