Kelly Nicole Jackson in Omaha - Physical Therapy Assistant
Kelly Nicole Jackson - NPI 1033365002
Kelly Nicole Jackson is a Physical Therapy Assistant in Omaha, Nebraska. Kelly Nicole Jackson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelly Nicole Jackson is 1033365002. The last update date is 2008-08-11.
Kelly Nicole Jackson's current location address is 8464 Orchard Ave, Omaha, Nebraska. You can contact this provider via phone number 4029609964 and fax number 4024456162. The mailing address for Kelly Nicole Jackson is 8464 Orchard Ave, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Nicole Jackson |
|---|---|
| Address | 8464 Orchard Ave, Omaha, Nebraska |
| Phone Number | 4029609964 |
| Fax Number | 4024456162 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1033365002 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 8464 Orchard Ave |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681272606 |
| Phone Number | 4029609964 |
| Fax Number | 4024456162 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | NE733 |
|
Definition: (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 Post |
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Post Comment/ Review Below
What is the Kelly Nicole Jackson's unique identification number?
The Kelly Nicole Jackson has been assigned the NPI (National Provider Identifier) Number 1033365002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kelly Nicole Jackson?
The Kelly Nicole Jackson is physically situated at 8464 Orchard Ave, in the city of Omaha, state of NE, with the postal code 681272606.
What is Kelly Nicole Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Nicole Jackson's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date was the 1033365002 assigned to Kelly Nicole Jackson?
The Kelly Nicole Jackson was issued its 1033365002 on 2008-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly Nicole Jackson's information last updated?
The Kelly Nicole Jackson's information was last updated on 2008-08-11.
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