Individual provider · Type 1 NPI
Lacy Kissell
Physical Therapy Assistant · Elkhart, IN
Practice location
1129 Parkway Ave
Elkhart, IN 46516-1395
Mailing address
1801 Baltic Ave
Elkhart, IN 46514-8361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 06005918A (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 …
2 other providers at this address
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About NPI 1306798731
Lacy Kissell's National Provider Identifier is 1306798731, issued on Feb 10, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Elkhart, IN. The record was last updated on Feb 10, 2026.