Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Marie Wickersham, PTA

Individual provider Physical Therapy Assistant · NPI 1306542337

Kayla Marie Wickersham, PTA is a Physical Therapy Assistant in Nanticoke, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

160 S Market St
Nanticoke, PA 18634-2315
Phone: (570) 258-2365
Fax: (570) 258-2395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI006023 (PA)

Record details

NPI number1306542337
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

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