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

Miss. Kelly Nicole Jackson, PTA

Individual provider Physical Therapy Assistant · NPI 1033365002

Miss. Kelly Nicole Jackson, PTA is a Physical Therapy Assistant in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2008.

Licensed in
NE
In the registry since
2008
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

2085 N 120th St Ste D8
Omaha, NE 68164-3479
Phone: (402) 445-4335
Fax: (402) 445-6162
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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 NE733 (NE)

Record details

NPI number1033365002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 11, 2008
Last updated in NPPESAugust 11, 2008

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