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

Mindy Kaye Credeur, PTA

Individual provider Physical Therapy Assistant · NPI 1407609076

Mindy Kaye Credeur, PTA is a Physical Therapy Assistant in Pensacola, Florida. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2024
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

1810 W Cervantes St
Pensacola, FL 32501-0001
Phone: (662) 714-3122
Fax: (850) 782-0058
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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 PTA8645 (AL)

Record details

NPI number1407609076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 11, 2024
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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