Individual provider · Type 1 NPI
Theresa Maxine Whiteside, PTA
Physical Therapy Assistant · Grand Blanc, MI
Practice location
8500 Fletcher Rd
Grand Blanc, MI 48439-8908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5502003469 (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 1790460152
Theresa Maxine Whiteside, PTA's National Provider Identifier is 1790460152, issued on Jun 21, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Blanc, MI. The record was last updated on Jun 21, 2023.