Individual provider · Type 1 NPI

Nicole Kathleen Peterson, PTA

Physical Therapy Assistant · Kansas City, MO

NPI number 1942390851 Active

Practice location

1000 Carondelet Dr
Kansas City, MO 64114-4673

Call (816) 943-4545 Map

Mailing address

6362 College Blvd
Overland Park, KS 66211-1506

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2006024538 (MO)

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 1942390851

Nicole Kathleen Peterson, PTA's National Provider Identifier is 1942390851, issued on Oct 13, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.