| NPI | 1073723425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEE N NOVOTNY Chiropractor 402-476-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-23 |