Nikki Michelle Harris, PTA
Individual provider Active NPI Physical Therapy Assistant · Burkesville, KY
NPI 1013573229 · NPPES record last updated May 13, 2019
Key facts
- NPI
- 1013573229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A02761 (KY)
- Practice address
- 2005 Palestine Rd
Burkesville, KY 42717-9317 - Phone
- (270) 459-0945
- NPI assigned
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02761 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02761 | KY | Yes |
Addresses
Primary practice location
2005 Palestine Rd
Burkesville, KY 42717-9317
Mailing address
2005 Palestine Rd
Burkesville, KY 42717-9317
Phone (270) 459-0945
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All providers in Burkesville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.