Individual provider · Type 1 NPI

Nicole Renee Tucker

Physical Therapy Assistant · Decatur, IL

NPI number 1194089359 Active

Practice location

2300 N Edward St
Decatur, IL 62526-4163

Call (217) 876-2600 Map

Fax (217) 876-2615

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160005008 (IL)

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 1194089359

Nicole Renee Tucker's National Provider Identifier is 1194089359, issued on Jul 2, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Decatur, IL. The record was last updated on Jul 2, 2012.