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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMARA A NICKSIC, PT

Active

TAMARA A NICKSIC, PT is a Physical Therapy Assistant healthcare provider located in SAINT JOHN, Indiana. NPI 1649479544 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAINT JOHN, IN

Registration Details

NPI Number
1649479544
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2007 (19.049726335484 yrs)
Last Updated
Nov 8, 2018
License
05002433A (IN)

Practice Information

Address
8259 WICKER AVE
SAINT JOHN, IN, 463738878
Browse IN providers · Browse ZIP 46373
Phone
2193656560
Fax
2193656561
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SAINT JOHN, IN

Name Credential NPI
ELAINE MICHELLE COOPER P.T. 1982650222
WILLIAM MAHROUS ELGENDI RPT 1750546644
FADY ELMALH P.T 1932356441
NIKHIL MALIK P.T., C.E.A.S. 1528341567
JOSHUA DEJONG DPT 1245587989
MICHELE KALUF PT, DPT 1407343817
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.