Nicole L Kirkland PTA

NPI 1316144793 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1316144793
Gender Female
Enumeration Date 06/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6040 LUTE RD
PORTAGE IN, 46368-5008, US
Phone (219) 763-6858
Business Location
CHESTERTON IN, 46304-2265, US
Phone (219) 921-0003
Taxonomy Code 225200000X
License State Indiana
License Number 06002707A
Remove 1316144793 NPI Number

According to our database, Nicole L Kirkland PTA NPI is 1316144793, taxonomy code is 225200000X and license number is 06002707A, license state is located at Indiana. Nicole L Kirkland PTA physically located at 6040 Lute Rd, Portage IN, 46368-5008. NPI Number Nicole L Kirkland PTA has the Individual type.

1316144793 NPI number is provided on an as is basis without warranty of any kind. 1316144793 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole L Kirkland PTA are for informational purposes only.