Individual provider · Type 1 NPI

Amanda Hagen, PTA

Physical Therapy Assistant · Baraboo, WI

NPI number 1922543115 Active

Practice location

1414 Jefferson St
Baraboo, WI 53913-1503

Call (608) 355-3336 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2399-19 (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 1922543115

Amanda Hagen, PTA's National Provider Identifier is 1922543115, issued on Dec 27, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Baraboo, WI. The record was last updated on Dec 27, 2016.