Individual provider · Type 1 NPI

Jennifer C. Denniston, PTA

Physical Therapy Assistant · Mishawaka, IN

NPI number 1801080817 Active

Practice location

530 Tanglewood Ln
Mishawaka, IN 46545-2627

Mailing address

2222 Sullivan Trl
Easton, PA 18040-7958

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003249A (IN)

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 1801080817

Jennifer C. Denniston, PTA's National Provider Identifier is 1801080817, issued on Sep 3, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mishawaka, IN. The record was last updated on Sep 3, 2007.