Individual provider · Type 1 NPI

Brittany Wanda Jake, PTA

Physical Therapy Assistant · Pleasant Prairie, WI

NPI number 1841567765 Active

Practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947

Fax (262) 634-3358

Mailing address

412 Oakhurst Ave
Union Grove, WI 53182-1610

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1781-19 (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 1841567765

Brittany Wanda Jake, PTA's National Provider Identifier is 1841567765, issued on Nov 21, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Apr 23, 2024.