Individual provider · Type 1 NPI

Tracee Depriest

Physical Therapy Assistant · Glen Carbon, IL

NPI number 1902929243 Active

Practice location

15 Junction Dr
Glen Carbon, IL 62034-4300

Mailing address

3459 Seiler Rd
Bethalto, IL 62010-2607

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1902929243

Tracee Depriest's National Provider Identifier is 1902929243, issued on Apr 10, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 8, 2007.