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

Nicole Kelly

Individual provider Physical Therapy Assistant · NPI 1336523562

Nicole Kelly is a Physical Therapy Assistant in Superior, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2015.

Licensed in
MN, WI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

35 N 28th St
Superior, WI 54880-5557
Phone: (715) 392-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2340-19 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence A1718 (MN)

Record details

NPI number1336523562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 17, 2015
Last updated in NPPESJuly 17, 2015

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