Individual provider · Type 1 NPI
Jacqueline Addison Waldrop, PTA
Physical Therapy Assistant · Metropolis, IL
Practice location
4312 Whipporwill Ln
Metropolis, IL 62960-3906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A04551 (KY) |
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 …
About NPI 1841979770
Jacqueline Addison Waldrop, PTA's National Provider Identifier is 1841979770, issued on Jul 17, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Metropolis, IL. The record was last updated on Jul 17, 2023.