Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Marie K, PTA-INDIRECTSUP

Individual provider Physical Therapy Assistant · NPI 1902345770

Mrs. Nicole Marie K, PTA-INDIRECTSUP is a Physical Therapy Assistant in Hanover, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
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Practice location Address checks out

267 Frederick St
Hanover, PA 17331-3614
Phone: (717) 637-8937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Garden Center Dr, Greensburg, PA 15601-1351 — (724) 832-8400

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI003281 (PA)

Record details

NPI number1902345770
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA-INDIRECTSUP
Sole proprietorNo
NPI enumeratedFebruary 14, 2017
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

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