| NPI | 1841542578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY J. MOELLER Owner / PT 402-792-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |