Individual provider · Type 1 NPI

Nancy E. Wickstrom, PTA

Physical Therapy Assistant · Ipswich, MA

NPI number 1700339884 Active

Practice location

43 Skytop Rd
Ipswich, MA 01938-1476

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8412 (MA)

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 …

About NPI 1700339884

Nancy E. Wickstrom, PTA's National Provider Identifier is 1700339884, issued on Jul 26, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ipswich, MA. The record was last updated on Jul 26, 2016.