Individual provider · Type 1 NPI

Stacey Lyke, PTA

Physical Therapy Assistant · Grand Rapids, MN

NPI number 1679288062 Active

Practice location

923 Hale Lake Pointe
Grand Rapids, MN 55744-9615

Mailing address

5786 Martima Rd
Floodwood, MN 55736-8124

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA2580 (MN)

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 1679288062

Stacey Lyke, PTA's National Provider Identifier is 1679288062, issued on Jan 19, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Grand Rapids, MN. The record was last updated on Jan 19, 2023.