| NPI | 1437265626 |
|---|---|
| Doing Business As | MIDWEST PHYSICAL THERAPY & SPORTS CENTER |
| Entity Type | Organization |
| Authorized Contact | RENEE A TEWES Owner/President 402-436-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-01-04 |