Individual provider · Type 1 NPI

Shannon Lynn McKenzie, PTA

Physical Therapy Assistant · Portland, OR

NPI number 1861814360 Active

Practice location

1300 NE 16th Ave
Portland, OR 97232

Call (503) 288-6671 Map

Mailing address

4560 SE International Way, Ste. 100
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X08941 (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 …

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About NPI 1861814360

Shannon Lynn McKenzie, PTA's National Provider Identifier is 1861814360, issued on Jan 17, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2014.