Individual provider · Type 1 NPI

Tracy Bantleon

Physical Therapy Assistant · Sheboygan, WI

NPI number 1811301591 Active

Practice location

3129 Michigan Ave
Sheboygan, WI 53081-3062

Call (920) 458-1155 Map

Fax (920) 458-1173

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1999-19 (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 …

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About NPI 1811301591

Tracy Bantleon's National Provider Identifier is 1811301591, issued on Jun 20, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sheboygan, WI. The record was last updated on Jun 20, 2014.