Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA ICKES, PTA
ActiveDIANA ICKES, PTA is a Specialist/Technologist, Surgical healthcare provider located in RIVERVIEW, Florida. NPI 1669923496 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · RIVERVIEW, FL
Registration Details
- NPI Number
- 1669923496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2016 (9.856059212823 yrs)
- Last Updated
- Oct 17, 2016
- License
-
PTA17336 (FL)
Practice Information
- Address
-
11458 CAPTIVA KAY DRRIVERVIEW, FL, 335692057Browse FL providers · Browse ZIP 33569
- Phone
- 9418128159
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
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.