Individual provider · Type 1 NPI

Michael Glenn Hornbuckle, PTA, ATC

Physical Therapy Assistant · Dyer, IN

NPI number 1922093418 Active

Practice location

1427 Joliet St Unit C
Dyer, IN 46311-2026

Mailing address

9145 W 103rd St
St. John, IN 46373-8794

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X160.010184 (IL)
Athletic Trainer 2255A2300X36001065A (IN)
Physical Therapy Assistant Primary 225200000X06006874A (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 1922093418

Michael Glenn Hornbuckle, PTA, ATC's National Provider Identifier is 1922093418, issued on Sep 12, 2005. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dyer, IN. The record was last updated on Aug 22, 2024.