Individual provider · Type 1 NPI

Stacey Pestar, P.T.A.

Physical Therapy Assistant · Mount Vernon, WA

NPI number 1922481621 Active

Practice location

300 S 18th St
Mount Vernon, WA 98274-4661

Call (360) 424-1320 Map

Mailing address

25117 SW Parkway Ave, Suite D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP160562657 (WA)

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 1922481621

Stacey Pestar, P.T.A.'s National Provider Identifier is 1922481621, issued on Jun 30, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mount Vernon, WA. The record was last updated on Jun 30, 2015.