Individual provider · Type 1 NPI

Kenneth Jung, PTA

Physical Therapy Assistant · Farmington, NM

NPI number 1922464866 Active

Practice location

806 W Maple St
Farmington, NM 87401-5631

Call (505) 327-7105 Map

Mailing address

1907 Hollyhock Cir
Farmington, NM 87401-2439

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA-0580 (NM)

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 1922464866

Kenneth Jung, PTA's National Provider Identifier is 1922464866, issued on Jan 7, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Farmington, NM. The record was last updated on Jan 7, 2016.