Individual provider · Type 1 NPI

Jacob Cunningham

Physical Therapy Assistant · Portage, IN

NPI number 1912450560 Active

Practice location

6459 US Highway 6
Portage, IN 46368-5109

Call (219) 762-5592 Map

Fax (219) 762-5664

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004290A (IN)

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 1912450560

Jacob Cunningham's National Provider Identifier is 1912450560, issued on Aug 1, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portage, IN. The record was last updated on Aug 1, 2016.