Individual provider · Type 1 NPI

Kelly Nicole Jackson, PTA

Physical Therapy Assistant · Omaha, NE

NPI number 1033365002 Active

Practice location

2085 N 120th St, Suite D8
Omaha, NE 68164-3479

Fax (402) 445-6162

Mailing address

8464 Orchard Ave
Omaha, NE 68127-2606

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNE733 (NE)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1033365002

Kelly Nicole Jackson, PTA's National Provider Identifier is 1033365002, issued on Aug 11, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Omaha, NE. The record was last updated on Aug 11, 2008.