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

Kaysie Nicklo

Individual provider Physical Therapy Assistant · NPI 1750141347

Kaysie Nicklo is a Physical Therapy Assistant in Saint Augustine, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1690 US Highway 1 S Ste F
Saint Augustine, FL 32084-6024
Phone: (904) 634-0640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 31506 (FL)

Record details

NPI number1750141347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address1690 Us Highway 1 S, St Augustine, FL 32084-4192

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