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

Individual provider Physical Therapy Assistant · NPI 1124415278

Nicole Marie Buchwald, LMT, PTA is a Physical Therapy Assistant in Wixom, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

49357 Pontiac Trl Ste 104
Wixom, MI 48393-2068
Phone: (248) 445-0788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501001960 (MI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502004244 (MI)

Record details

NPI number1124415278
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , PTA
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015