Individual provider · Type 1 NPI

Robert J. Nickerson, PTA

Physical Therapy Assistant · Grand Rapids, MI

NPI number 1457035487 Active

Practice location

4362 Cascade Rd SE
Grand Rapids, MI 49546-3600

Call (616) 465-6800 Map

Mailing address

4161 Miramar Ave NE
Grand Rapids, MI 49525-1525

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502006371 (MI)

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 1457035487

Robert J. Nickerson, PTA's National Provider Identifier is 1457035487, issued on Jun 12, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 12, 2023.