| Doctor Name: | KELLY JEAN NICOTERO |
| NPI Number: | 1144522434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 004134 |
| Business Practice Address: | 1005 E 23rd St Suite 200 Fremont, NE - 680250800 |
| Business Phone Number: | 8667842329 |
| Business Fax Number: | 8775506600 |
| Mailing Address: | 4518 S 178th St, OMAHA |
| State: | NE |
| Postal Code: | 681353499 |
| Phone Number: | 4022127842 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2010 |
| NPI Last Update Date: | 11/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004134 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |