Individual provider · Type 1 NPI

Kenneth Repp, PTA

Physical Therapy Assistant · Surprise, AZ

NPI number 1982949913 Active

Practice location

14800 W Mountain View Blvd, Suite 260
Surprise, AZ 85374-4795

Call (623) 556-5013 Map

Fax (623) 556-9290

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5491A (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 1982949913

Kenneth Repp, PTA's National Provider Identifier is 1982949913, issued on Dec 3, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Surprise, AZ. The record was last updated on Dec 30, 2016.