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

Kelly Buckman, PTA

Individual provider Physical Therapy Assistant · NPI 1003219973

Kelly Buckman, PTA is a Physical Therapy Assistant in Council Bluffs, Iowa. Licensed in Iowa and Nebraska. Registered with an NPI since 2014.

Licensed in
IA, NE
In the registry since
2014
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

201 W Broadway
Council Bluffs, IA 51503-9004
Phone: (712) 329-9419
Fax: (712) 329-0329
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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 004861 (IA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1107 (NE)

Record details

NPI number1003219973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 6, 2014
Last updated in NPPESOctober 6, 2014
Mailing address201 W Broadway, Council Bluffs, IA 51503-9004

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