Individual provider · Type 1 NPI

Dustin Ely

Physical Therapy Assistant · Lakeland, FL

NPI number 1871907808 Active

Practice location

411 E Orange St, Suite 204
Lakeland, FL 33801-5054

Call (863) 617-9400 Map

Mailing address

6470 Horizon Point Dr
Lakeland, FL 33813-5407

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA22832 (FL)

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 1871907808

Dustin Ely's National Provider Identifier is 1871907808, issued on Jun 18, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lakeland, FL. The record was last updated on Jun 18, 2014.