Individual provider · Type 1 NPI

Kyla Nicole Ibarra, PTA

Physical Therapy Assistant · Wagoner, OK

NPI number 1326766643 Active

Practice location

817 W Cherokee St
Wagoner, OK 74467-4616

Mailing address

1650 Lyndon Farm Ct Ste 300
Louisville, KY 40223-5005

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3540 (OK)

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 1326766643

Kyla Nicole Ibarra, PTA's National Provider Identifier is 1326766643, issued on Aug 22, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wagoner, OK. The record was last updated on Aug 22, 2022.