JENNA MARIE ST. NICHOLAS PTA
NPI 1053891002
Physical Therapy Assistant in Kilgore, TX
About Jenna Marie St. Nicholas Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA MARIE ST. NICHOLAS PTA (NPI 1053891002) is an individual physical therapy assistant in Kilgore, Texas, licensed in Texas (2090656) and active in the NPI registry since August 2018. She maintains a secondary practice location in Longview.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KILGORE, TX 75662
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jenna St. Nicholas's NPI number?
The NPI number for Jenna St. Nicholas is 1053891002. It was assigned to this individual provider in the NPPES registry on August 20, 2018.
Where is Jenna St. Nicholas located?
Jenna St. Nicholas practices at 1100 Broadway Blvd, Kilgore, TX 75662. The listed phone number is (903) 983-8209.
What is Jenna St. Nicholas's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jenna St. Nicholas was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.