| Doctor Name: | MRS. JESSICA MARIE NUTTELMAN |
| NPI Number: | 1275719585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 2560 |
| Business Practice Address: | 823 M St Tekamah, NE - 680611427 |
| Business Phone Number: | 4029901791 |
| Business Fax Number: | 4027214154 |
| Mailing Address: | 2836 County Road P49, OMAHA |
| State: | NE |
| Postal Code: | 681125144 |
| Phone Number: | 4029901791 |
| Fax Number: | 4027214154 |
| NPI Enumeration Date: | 01/16/2008 |
| NPI Last Update Date: | 01/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| 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 |