Individual provider · Type 1 NPI

Jenna Marie St. Nicholas, PTA

Physical Therapy Assistant · Kilgore, TX

NPI number 1053891002 Active

Practice location

1100 Broadway Blvd
Kilgore, TX 75662-3204

Call (903) 983-8209 Map

Other practice locations

  • 2131 Alpine Rd, Longview, TX 75601-3402 · (903) 757-8786

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2090656 (TX)

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 1053891002

Jenna Marie St. Nicholas, PTA's National Provider Identifier is 1053891002, issued on Aug 20, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kilgore, TX. The record was last updated on Aug 20, 2018.