Individual provider · Type 1 NPI

Derek Nystrom, PTA

Physical Therapy Assistant · Eau Claire, WI

NPI number 1801397187 Active

Practice location

1109 W Clairemont Ave
Eau Claire, WI 54701-6105

Mailing address

24405 County Highway F
New Auburn, WI 54757-5346

Other practice locations

  • 2509 County Highway I, Chippewa Falls, WI 54729-2785 · (715) 717-7455

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2176-19 (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 …

25 other providers at this address

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About NPI 1801397187

Derek Nystrom, PTA's National Provider Identifier is 1801397187, issued on Feb 22, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Eau Claire, WI. The record was last updated on Dec 29, 2021.