Individual provider · Type 1 NPI

Holly Rudolph

Physical Therapy Assistant · Herrin, IL

NPI number 1932870581 Active

Practice location

1900 N Park Ave
Herrin, IL 62948-2742

Call (618) 942-2525 Map

Mailing address

8210 Tunnel Hill Rd
Goreville, IL 62939-2818

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160007391 (IL)

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 1932870581

Holly Rudolph's National Provider Identifier is 1932870581, issued on Sep 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Herrin, IL. The record was last updated on Sep 29, 2021.