IndividualActive
Amy Nuckoles, PTA
NPI 1780159012 · Physical Therapy Assistant · Elkhorn, NE
Provider details
- NPI number
- 1780159012
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1719 (NE)
Practice location
600 Brookstone Meadows Plz
Elkhorn, NE 68022-4401
Phone: (402) 289-2696
Mailing address
6652 Park Crest Dr
Papillion, NE 68133-2294
Registry dates
- Enumerated
- 2018-10-13
- Last updated
- 2018-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.