Individual provider · Type 1 NPI
Lisa Nichole Creadle
Physical Therapy Assistant · Virginia Beach, VA
Practice location
3053 Blitz Ct
Virginia Beach, VA 23453-3210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2306604310 (VA) |
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 1629930805
Lisa Nichole Creadle's National Provider Identifier is 1629930805, issued on Nov 26, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 26, 2025.