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

Kelly Niemeyer, PTA

Individual provider Physical Therapy Assistant · NPI 1265100168

Kelly Niemeyer, PTA is a Physical Therapy Assistant in Weston, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
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

4810 Barbican Ave
Weston, WI 54476-4186
Phone: (715) 393-0419
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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 3207-19 (WI)

Record details

NPI number1265100168
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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