| NPI | 1053470823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE M JANSA Owner 402-310-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NE 1655) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2026-07-10 |