Individual provider · Type 1 NPI

Nicole L. Oldfather, PTA

Physical Therapy Assistant · Kendallville, IN

NPI number 1770079147 Active

Practice location

702 N Sawyer Rd
Kendallville, IN 46755-2532

Call (260) 347-3333 Map

Mailing address

965 W Ryan Rd
Columbia City, IN 46725-8402

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002493A (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 1770079147

Nicole L. Oldfather, PTA's National Provider Identifier is 1770079147, issued on Jul 9, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kendallville, IN. The record was last updated on Jul 9, 2018.