| NPI | 1184627911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA BECKSTEAD Office Manager 308-382-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 681) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-07-29 |