KERRY HICKETHIER, PTA, ATC

Physical Therapy Assistant

Active Individual
NPI: 1912122201

Practice Address

4200 6TH AVE SE
SUITE 203
Lacey, WA 98503

Phone: (360) 455-4448

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 8449 (OR)
Specialist/Technologist - Athletic Trainer 2255A2300X No -

Frequently Asked Questions

NPI 1912122201 is the National Provider Identifier for KERRY HICKETHIER, PTA, ATC, a Physical Therapy Assistant provider located in Lacey, WA. This NPI was enumerated on April 13, 2007.
KERRY HICKETHIER, PTA, ATC practices at 4200 6TH AVE SE, SUITE 203, Lacey, WA 98503.

Quick Facts

NPI
1912122201
Type
Individual
Enumerated
Apr 13, 2007
Last Updated
Sep 11, 2025

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