| NPI | 1013314558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WEIMER Member/Owner 308-225-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NE 1850) |
| Enumeration Date | 2014-11-27 |
| Last Update Date | 2014-11-27 |