Individual provider · Type 1 NPI

Ian Kincade, PTA

Physical Therapy Assistant · Grand Blanc, MI

NPI number 1033601232 Active

Practice location

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

Call (850) 529-8212 Map

Mailing address

6597 Snow Apple Dr
Clarkston, MI 48346-2159

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502005582 (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 1033601232

Ian Kincade, PTA's National Provider Identifier is 1033601232, issued on Jun 4, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Blanc, MI. The record was last updated on Jun 4, 2018.