Individual provider · Type 1 NPI
Chad Distelrath
Physical Therapy Assistant · Fort Wayne, IN
Practice location
1717 Maplecrest Rd, Apt 112
Fort Wayne, IN 46815
Mailing address
3825 Meter Drive
Fort Wayne, IN 46806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 06002033A (IN) |
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 1962823138
Chad Distelrath's National Provider Identifier is 1962823138, issued on Dec 13, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 13, 2013.