Individual provider · Type 1 NPI

Kim M. Grisar, PTA

Physical Therapy Assistant · Port Washington, WI

NPI number 1912947391 Active

Practice location

1317 W Grand Ave
Port Washington, WI 53074-2075

Mailing address

1410 Audubon Ave
Grafton, WI 53024-2218

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X810-019 (WI)

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 1912947391

Kim M. Grisar, PTA's National Provider Identifier is 1912947391, issued on Jun 7, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port Washington, WI. The record was last updated on Jul 8, 2007.