Individual provider · Type 1 NPI

Nicole Michele Haywood, PTA

Physical Therapy Assistant · Chicago, IL

NPI number 1295412278 Active

Practice location

2641 W Harrison St
Chicago, IL 60612-3420

Mailing address

2900 Foxfield Rd Ste 102
St. Charles, IL 60174-5799

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006881 (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 1295412278

Nicole Michele Haywood, PTA's National Provider Identifier is 1295412278, issued on Jun 30, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2023.