DIANA ICKES PTA NPI 1669923496

NPI Information

NPI: 1669923496
Provider Name: DIANA ICKES, PTA
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
11458 CAPTIVA KAY DR
RIVERVIEW, FL
ZIP 33569
Phone: (941) 812-8159
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Diana Ickes, PTA is a specialist technologist other in Riverview, FL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Diana Ickes, PTA NPI is 1669923496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11458 CAPTIVA KAY DR
RIVERVIEW, FL
ZIP 33569-057
Phone: (941) 812-8159

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		PTA17336	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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