Kerry Hickethier, PTA, ATC

NPI #1912122201 in Lacey, Washington

Provider Information

NPI Number: 1912122201
Entity Type: Individual
Name: Kerry Hickethier, PTA, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, ATC
Enumeration Date: Apr 13, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 4200 6TH AVE SE
Address 2: SUITE 203
City: Lacey
State: Washington
ZIP Code: 98503-1042
Phone: (360) 455-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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