Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Ketcik

Individual provider Physical Therapy Assistant · NPI 1063996056

Nicole Ketcik is a Physical Therapy Assistant in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

2950 Lafranier Rd
Traverse City, MI 49686-4918
Phone: (231) 947-0506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502005555 (MI)

Record details

NPI number1063996056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018

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