Individual provider · Type 1 NPI
Laci Dawn Johncock
Physical Therapy Assistant · Wyoming, MI
Practice location
2786 56th Street
Wyoming, MI 49418
Fax (616) 261-3925
Mailing address
11252 Sprague Road
Delton, MI 49046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 5502003277 (MI) |
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 1972989655
Laci Dawn Johncock's National Provider Identifier is 1972989655, issued on Aug 5, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wyoming, MI. The record was last updated on Aug 5, 2015.