Individual provider · Type 1 NPI

Kenneth Mark Jolley, PTA

Physical Therapy Assistant · Odessa, TX

NPI number 1912165689 Active

Practice location

2525 N Grandview Ave, 400
Odessa, TX 79761-1600

Call (432) 550-4700 Map

Fax (432) 550-4715

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4043303 (TX)

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 1912165689

Kenneth Mark Jolley, PTA's National Provider Identifier is 1912165689, issued on May 29, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Odessa, TX. The record was last updated on May 29, 2008.