Individual provider · Type 1 NPI

Kourtney Nickelson, P.T.A.

Physical Therapy Assistant · Carmel, IN

NPI number 1780123653 Active

Practice location

118 Medical Dr
Carmel, IN 46032-2923

Call (317) 573-1037 Map

Mailing address

4746 E Highway 36
Mooreland, IN 47360

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06005451A (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 1780123653

Kourtney Nickelson, P.T.A.'s National Provider Identifier is 1780123653, issued on Feb 13, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carmel, IN. The record was last updated on Feb 13, 2017.