Individual provider · Type 1 NPI

Nicole Henline, PTA

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1811176563 Active

Practice location

10443 Illinois Rd
Fort Wayne, IN 46814-9181

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002875A (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 1811176563

Nicole Henline, PTA's National Provider Identifier is 1811176563, issued on Oct 30, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 30, 2007.