IndividualActive
Katie Tidwell, PTA
NPI 1023859238 · Physical Therapy Assistant · Georgetown, DE
Provider details
- NPI number
- 1023859238
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- J2-0000457 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
110 W North St
Georgetown, DE 19947-2144
Phone: (302) 856-4574
Approximate (ZIP-level) locationGet directions
Mailing address
28563 Collins Farm Rd
Millsboro, DE 19966-1534
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.