Individual provider · Type 1 NPI

Amy Nuckoles, PTA

Physical Therapy Assistant · Elkhorn, NE

NPI number 1780159012 Active

Practice location

600 Brookstone Meadows Plz
Elkhorn, NE 68022-4401

Mailing address

6652 Park Crest Dr
Papillion, NE 68133-2294

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1719 (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 1780159012

Amy Nuckoles, PTA's National Provider Identifier is 1780159012, issued on Oct 13, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Elkhorn, NE. The record was last updated on Oct 13, 2018.