Individual provider · Type 1 NPI

Shanice C. Pettigrew, PTA

Physical Therapy Assistant · Wynne, AR

NPI number 1821643362 Active

Practice location

661 Highway 64B
Wynne, AR 72396-8506

Call (870) 238-7038 Map

Mailing address

9992 Highway 1 N
Colt, AR 72326-8408

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4462 (AR)

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 1821643362

Shanice C. Pettigrew, PTA's National Provider Identifier is 1821643362, issued on Aug 1, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wynne, AR. The record was last updated on Aug 1, 2019.