Kerry Hickethier in Lacey - Physical Therapy Assistant

Kerry Hickethier - NPI 1912122201

Kerry Hickethier is a Physical Therapy Assistant in Lacey, Washington. Kerry Hickethier practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kerry Hickethier is 1912122201. The last update date is 2007-07-08.

Kerry Hickethier's current location address is 4200 6th Ave Se, Lacey, Washington. You can contact this provider via phone number 3604554448. The mailing address for Kerry Hickethier is 4200 6th Ave Se, Lacey, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry Hickethier
Address 4200 6th Ave Se, Lacey, Washington
Phone Number 3604554448
Fax Number
Sole Proprietor N
Credentials PTA, ATC

NPI Number Detail

NPI Number 1912122201
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4200 6th Ave Se
City Lacey
State Washington (WA)
Post Code 985031042
Phone Number 3604554448
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 8449
Definition:
(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 Post

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FAQs about Kerry Hickethier

What is the Kerry Hickethier's 1912122201?

The Kerry Hickethier's NPI (National Provider Identifier) Number is 1912122201. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kerry Hickethier's facilities are situated?

The facilities of Kerry Hickethier are physically located at the following address: 4200 6Th Ave Se, Lacey, WA, 985031042.

What is the Kerry Hickethier's area of specialization and corresponding taxonomy classification?

The Kerry Hickethier's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1912122201 to Kerry Hickethier?

The Centers for Medicare & Medicaid Services assigned the 1912122201 to Kerry Hickethier on 2007-04-13.

As of what date were the Kerry Hickethier's details last updated?

The information pertaining to the Kerry Hickethier, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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