Individual provider · Type 1 NPI

Jacqueline Josie Nelson, PTA

Physical Therapy Assistant · Gillette, WY

NPI number 1457024119 Active

Practice location

305 E Lakeway Rd
Gillette, WY 82718-6301

Mailing address

390 American Rd Unit A
Gillette, WY 82716-9634

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA-1049 (WY)

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 1457024119

Jacqueline Josie Nelson, PTA's National Provider Identifier is 1457024119, issued on Jul 28, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gillette, WY. The record was last updated on Jul 28, 2021.