Individual provider · Type 1 NPI

Kimberlee Dae Susi, PTA

Physical Therapy Assistant · Caribou, ME

NPI number 1821777012 Active

Practice location

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588

Call (207) 498-1170 Map

Mailing address

73 Sweden St Unit 2
Caribou, ME 04736-2101

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPA6572 (ME)

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 1821777012

Kimberlee Dae Susi, PTA's National Provider Identifier is 1821777012, issued on Jul 14, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Caribou, ME. The record was last updated on Jul 14, 2023.