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

Jacqueline Josie Nelson, PTA

Individual provider Physical Therapy Assistant · NPI 1457024119

Jacqueline Josie Nelson, PTA is a Physical Therapy Assistant in Gillette, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

305 E Lakeway Rd
Gillette, WY 82718-6301
Phone: (307) 696-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-1049 (WY)

Record details

NPI number1457024119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021

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