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

Kylee Nusbaum, PTA

Individual provider Physical Therapy Assistant · NPI 1093082836

Kylee Nusbaum, PTA is a Physical Therapy Assistant in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
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

1948 Mesquite Ave Ste 101
Lake Havasu City, AZ 86403-5777
Phone: (928) 854-4776
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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 9592 (AZ)

Record details

NPI number1093082836
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011

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