TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC

SOUTH SIOUX CITY, NE
NPI1114180767
Former Legal Business NameTRI-STATE CHIROPRACTIC CLINIC INC
Entity TypeOrganization
Authorized ContactTIM E LUSE
Medical Administrator
402-494-5173
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NE  753)
Additional Taxonomies111N00000X Chiropractor
(Licence: NE  684)
111N00000X Chiropractor
(Licence: NE  1289)
174400000X Specialist
(Licence: NE  82)
Enumeration Date2008-07-03
Last Update Date2008-07-03
Business Address
TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
3900 DAKOTA AVE STE 6
SOUTH SIOUX CITY, NE 68776-3696
Phone number: 402-494-5173
Mailing Address
TRI-STATE PHYSICIANS & PHYSICAL THERAPY CLINIC PC
3900 DAKOTA AVE STE 6
SOUTH SIOUX CITY, NE 68776-3696
Phone number: 402-494-5173
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