Individual provider · Type 1 NPI

Kecia Thompsongordon, PTA

Physical Therapy Assistant · Beloit, WI

NPI number 1811518657 Active

Practice location

1905 W Hart Rd
Beloit, WI 53511-2230

Mailing address

710 Campus St Apt 5
Milton, WI 53563-1747

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2959 (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 1811518657

Kecia Thompsongordon, PTA's National Provider Identifier is 1811518657, issued on May 4, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Beloit, WI. The record was last updated on May 4, 2020.