Individual provider · Type 1 NPI

Kourtney Hicks, PTA

Physical Therapy Assistant · Crestwood, IL

NPI number 1669842035 Active

Practice location

5505 129th Pl, Apt 101
Crestwood, IL 60445-1241

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	1600006340 (IL)

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 1669842035

Kourtney Hicks, PTA's National Provider Identifier is 1669842035, issued on Sep 29, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crestwood, IL. The record was last updated on Sep 29, 2015.