NPI 1023859238

Katie Tidwell, PTA

Practitioner Physical Therapy Assistant Georgetown, DE

Practice location

Address: 110 W North St, Georgetown, DE 19947-2144
Phone: (302) 856-4574
Mailing address: 28563 Collins Farm Rd, Millsboro, DE 19966-1534

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J2-0000457 (DE)

Other Physical Therapy Assistant providers in Delaware →

Registry record

NPI: 1023859238
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2024
Record last updated: 3 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.