Nicole Tyson, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Manhattan, KS

NPI

1568909885

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

14-03048 (KS)

Sex

Female

Sole proprietor

No

Enumerated

2017-01-24

Last updated

2017-01-24