Individual provider · Type 1 NPI

Shantay Anderson

Physical Therapy Assistant · Pocatello, ID

NPI number 1942829205 Active

Practice location

527 Memorial Dr
Pocatello, ID 83201-4063

Call (208) 478-3333 Map

Mailing address

5277 Stuart Ave
Pocatello, ID 83202-2201

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X11433285-2402 (UT)
Physical Therapy Assistant Primary 225200000XPTA-6180 (ID)

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 1942829205

Shantay Anderson's National Provider Identifier is 1942829205, issued on Apr 15, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Pocatello, ID. The record was last updated on Apr 15, 2020.