Individual provider · Type 1 NPI

Kaysie Nicklo

Physical Therapy Assistant · St. Augustine, FL

NPI number 1750141347 Active

Practice location

1690 US Highway 1 S Ste F
St. Augustine, FL 32084-6024

Mailing address

1690 US Highway 1 S
St. Augustine, FL 32084-4192

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X31506 (FL)

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 1750141347

Kaysie Nicklo's National Provider Identifier is 1750141347, issued on Mar 20, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 20, 2024.