Individual provider · Type 1 NPI

Kelley Gick, PTA

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1295301802 Active

Practice location

2927 Lake Ave
Fort Wayne, IN 46805-5415

Mailing address

1900 Carew St Ste 6
Fort Wayne, IN 46805-4765

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002002A (IN)

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 1295301802

Kelley Gick, PTA's National Provider Identifier is 1295301802, issued on Jun 3, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 3, 2021.