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

Susan Annette Nickelson, PTA

Individual provider Physical Therapy Assistant · NPI 1952070245

Susan Annette Nickelson, PTA is a Physical Therapy Assistant in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021
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

3901 Kern Way Ste 102
Yakima, WA 98902-7804
Phone: (509) 895-7449
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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 P160975894 (WA)

Record details

NPI number1952070245
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

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