Individual provider · Type 1 NPI

Jacob Levi Montana Swan, PTA

Physical Therapy Assistant · Laramie, WY

NPI number 1952277378 Active

Practice location

1609 Palomino Dr
Laramie, WY 82070-5393

Call (307) 299-0131 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-0860 (WY)

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 1952277378

Jacob Levi Montana Swan, PTA's National Provider Identifier is 1952277378, issued on Oct 13, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Laramie, WY. The record was last updated on Oct 13, 2025.