Individual provider · Type 1 NPI

Nicole Ketcik

Physical Therapy Assistant · Traverse City, MI

NPI number 1063996056 Active

Practice location

2950 Lafranier Rd
Traverse City, MI 49686-4918

Call (231) 947-0506 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502005555 (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 1063996056

Nicole Ketcik's National Provider Identifier is 1063996056, issued on Sep 17, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Traverse City, MI. The record was last updated on Sep 17, 2018.