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

Tom Gollicker, PTAIDE

Individual provider Physical Therapy Assistant · NPI 1114085339

Tom Gollicker, PTAIDE is a Physical Therapy Assistant in Williston, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

Licensed in
VT
In the registry since
2006

Practice location Address checks out

151 Blair Park Rd
Williston, VT 05495-7435
Phone: (802) 879-0909
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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 041-0000469 (VT)

Record details

NPI number1114085339
Entity typeIndividual (Type 1)
GenderMale
Credentials PTAIDE
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESNovember 14, 2007
Mailing address151 Blair Park Rd, Po Box 1064, Williston, VT 05495-7435

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