Individual provider · Type 1 NPI

Daelene Sueann Tibbitts, PTA

Physical Therapy Assistant · Mountain Home, ID

NPI number 1891247912 Active

Practice location

1665 E 5th N
Mountain Home, ID 83647

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA-4637 (ID)

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 1891247912

Daelene Sueann Tibbitts, PTA's National Provider Identifier is 1891247912, issued on Oct 25, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mountain Home, ID. The record was last updated on Oct 25, 2016.