KELLY JEAN NOWACKI (P.T.) – Physical Therapist, NPI 1265451090

KELLY JEAN NOWACKI (P.T.) is a healthcare provider. based in Buffalo, Minnesota. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 7213 (MN). The NPI Number for KELLY JEAN NOWACKI (P.T.) is 1265451090

Main info

Female
Name
KELLY JEAN NOWACKI (P.T.)
NPI
1265451090
Phone
(763) 682-5168
Address
1309 TIMBER LANE
Enumeration Date
19 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY JEAN NOWACKI (P.T.)

  • 1309, Timber Lane, Grandview Estates, Buffalo, Wright County, Minnesota, 55313, United States

    BUFFALO, MN 55313

    Phone: (763) 682-5168

    Type: Mailing

  • 600, Twelve Oaks Center Drive, Wayzata, Hennepin County, Minnesota, 55391, United States

    #638

    WAYZATA, MN 553914501

    Phone: (952) 476-0224

    Fax: (952) 476-0218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55313)

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Frequently asked questions

What unique ID ties claims to KELLY JEAN NOWACKI (P.T.)?
NPI 1265451090 is assigned to KELLY JEAN NOWACKI (P.T.) under the national enumeration system.
Is KELLY JEAN NOWACKI (P.T.) currently active in the NPI registry?
CMS-published data lists KELLY JEAN NOWACKI (P.T.) as an active registrant.
What does KELLY JEAN NOWACKI (P.T.) treat or focus on?
Patients typically see KELLY JEAN NOWACKI (P.T.) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY JEAN NOWACKI (P.T.)?
The page summarizes Buffalo, Minnesota for KELLY JEAN NOWACKI (P.T.); expand the address list for detail.
How can I contact KELLY JEAN NOWACKI (P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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