Doctor Name: | HOLLY MICHELLE TKACIK |
NPI Number: | 1700042207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT011634L |
Business Practice Address: | 160 Plaza Dr Clearfield, PA - 168306007 |
Business Phone Number: | 8147628356 |
Business Fax Number: | 8147628366 |
Mailing Address: | 160 Plaza Dr, CLEARFIELD |
State: | PA |
Postal Code: | 168306007 |
Phone Number: | 8147628356 |
Fax Number: | 8147628366 |
NPI Enumeration Date: | 08/04/2008 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011634L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |