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

Mickenzie Jo Criswell, PTA

Individual provider Physical Therapy Assistant · NPI 1649510462

Mickenzie Jo Criswell, PTA is a Physical Therapy Assistant in Louisville, Kentucky. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
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

303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5185
Phone: (502) 412-5847
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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 08834 (OH)

Record details

NPI number1649510462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 15, 2013
Last updated in NPPESFebruary 15, 2013

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