Individual provider · Type 1 NPI
Jared Russell, PTA
Physical Therapy Assistant · Mcminnville, OR
Practice location
421 S Evans St
Mcminnville, OR 97128
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 09077 (OR) |
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 …
Another provider at this address
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About NPI 1841690286
Jared Russell, PTA's National Provider Identifier is 1841690286, issued on Sep 3, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mcminnville, OR. The record was last updated on Sep 3, 2014.