Robert J Nickerson, PTA
Robert J Nickerson, PTA is a Physical Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.
- Licensed in
- MI
- In the registry since
- 2023
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
4362 Cascade Rd SEGrand Rapids, MI 49546-3600
Phone: (616) 465-6800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5502006371 (MI) |
|---|
Record details
| NPI number | 1457035487 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 7, 2023 |
| Mailing address | 4161 Miramar Ave Ne, Grand Rapids, MI 49525-1525 |
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Russell T Neher, PTA
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