Individual provider · Type 1 NPI

Kimberly Ann Mavronicles, PTA

Physical Therapy Assistant · Carmel, IN

NPI number 1679737258 Active

Practice location

118 Medical Dr
Carmel, IN 46032-3323

Mailing address

3840 S County Road 475 E
Hardinsburg, IN 47125-6532

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003357A (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 1679737258

Kimberly Ann Mavronicles, PTA's National Provider Identifier is 1679737258, issued on Jul 14, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carmel, IN. The record was last updated on Dec 7, 2023.