Individual provider · Type 1 NPI

Haven Nicole Robertson

Physical Therapy Assistant · Paragould, AR

NPI number 1720958952 Active

Practice location

148 Linwood Dr
Paragould, AR 72450-4077

Call (870) 520-8761 Map

Mailing address

1406 Kaitlyn
Lake City, AR 72437-8597

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4867 (AR)

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 1720958952

Haven Nicole Robertson's National Provider Identifier is 1720958952, issued on Nov 11, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Paragould, AR. The record was last updated on Nov 11, 2025.