Individual provider · Type 1 NPI

Jacquelin Pannebakker

Physical Therapy Assistant · Aurora, CO

NPI number 1922545169 Active

Practice location

12123 E 16th Avenue
Aurora, CO 80045

Mailing address

765 S Lafayette Dr Apt 152
Lafayette, CO 80026-3568

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.0013703 (CO)

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 1922545169

Jacquelin Pannebakker's National Provider Identifier is 1922545169, issued on Jan 26, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Aurora, CO. The record was last updated on Jan 26, 2017.