Individual provider · Type 1 NPI

Stacey Kim Hummel, PTA

Physical Therapy Assistant · Bremen, IN

NPI number 1467968602 Active

Practice location

316 Woodies Ln
Bremen, IN 46506-1354

Mailing address

324 Burket Ln
Bremen, IN 46506-1977

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003185A (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 1467968602

Stacey Kim Hummel, PTA's National Provider Identifier is 1467968602, issued on Dec 26, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bremen, IN. The record was last updated on Dec 26, 2017.