Individual provider · Type 1 NPI

Devon Nicely, PTA

Physical Therapy Assistant · Anderson, CA

NPI number 1285114702 Active

Practice location

1920 Barney Rd
Anderson, CA 96007-4337

Mailing address

877 Wind Forest Dr
Springboro, OH 45066-9016

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1285114702

Devon Nicely, PTA's National Provider Identifier is 1285114702, issued on Aug 14, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Anderson, CA. The record was last updated on Aug 14, 2018.