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

Individual provider Physical Therapy Assistant · NPI 1912122201

Kerry Hickethier, PTA, ATC is a Physical Therapy Assistant in Lacey, Washington. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4200 6th Ave SE Ste 203
Lacey, WA 98503-1042
Phone: (360) 455-4448
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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 8449 (OR)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1912122201
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , ATC
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESSeptember 11, 2025

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