Individual provider · Type 1 NPI
Kelly Mack, PTA
Physical Therapy Assistant · Maricopa, AZ
Practice location
44480 W Honeycutt Rd, #106
Maricopa, AZ 85138-2903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 10553A (AZ) |
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 1972933646
Kelly Mack, PTA's National Provider Identifier is 1972933646, issued on Nov 17, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Maricopa, AZ. The record was last updated on Nov 17, 2013.