Individual provider · Type 1 NPI

Kimberly Ellefson, PTA

Physical Therapy Assistant · Pleasant Prairie, WI

NPI number 1942477898 Active

Practice location

10330 Prairie Ridge Blvd
Pleasant Prairie, WI 53158-1947

Call (262) 612-2856 Map

Fax (262) 612-2893

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X150-019 (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 1942477898

Kimberly Ellefson, PTA's National Provider Identifier is 1942477898, issued on May 9, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Mar 5, 2015.