Individual provider · Type 1 NPI

Eva Jean Dettlaff, PTA

Physical Therapy Assistant · Greenfield, WI

NPI number 1992145023 Active

Practice location

3100 W Edgerton Ave
Greenfield, WI 53221-3116

Call (262) 302-9412 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1650-19 (WI)

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 1992145023

Eva Jean Dettlaff, PTA's National Provider Identifier is 1992145023, issued on Jul 3, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Greenfield, WI. The record was last updated on Jul 3, 2013.