Individual provider · Type 1 NPI

Kyle Michael Chamness, PTA

Physical Therapy Assistant · Carbondale, IL

NPI number 1871834200 Active

Practice location

374 E Grand Ave
Carbondale, IL 62901-3962

Call (618) 453-1292 Map

Fax (618) 453-4290

Mailing address

PO Box 125
Hurst, IL 62949-0125

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005944 (IL)

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 1871834200

Kyle Michael Chamness, PTA's National Provider Identifier is 1871834200, issued on Mar 11, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carbondale, IL. The record was last updated on Mar 11, 2013.