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1952007916
KENNETH R WHEELER
OMAHA, NE
NPI
1952007916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO 0013732)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
KENNETH R WHEELER PTA
12020 PACIFIC ST
OMAHA, NE 68154-3507
Phone number: 800-259-9897
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Mailing Address
KENNETH R WHEELER PTA
PO BOX 1695
LEADVILLE, CO 80461-1695
Phone number: 970-445-7856
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