Individual provider · Type 1 NPI

Elexa Nickerson

Physical Therapy Assistant · Orono, ME

NPI number 1285188052 Active

Practice location

117 Bennoch Rd
Orono, ME 04473-3620

Mailing address

98 Poplar St
Old Town, ME 04468-5901

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPA4696 (ME)

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 1285188052

Elexa Nickerson's National Provider Identifier is 1285188052, issued on Aug 10, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Orono, ME. The record was last updated on Aug 10, 2016.