Individual provider · Type 1 NPI

Kerry Hickethier, PTA, ATC

Physical Therapy Assistant · Lacey, WA

NPI number 1912122201 Active

Practice location

4200 6th Ave SE, Suite 203
Lacey, WA 98503-1042

Call (360) 455-4448 Map

Mailing address

8137 Sweetbrier Ln SE, J-104
Lacey, WA 98513-8408

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X8449 (OR)
Athletic Trainer 2255A2300XNone listed

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 1912122201

Kerry Hickethier, PTA, ATC's National Provider Identifier is 1912122201, issued on Apr 13, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lacey, WA. The record was last updated on Sep 11, 2025.