NPI 1013031285

Stodden Physical Therapy,llc

Organisation Specialist Gretna, NE

Practice location

Address: 11532 Willow Park Dr Su 100, Gretna, NE 68028-6947
Phone: (402) 289-5013
Fax: (402) 289-5018
Mailing address: 1405 N 205th St Stodden Physical Therapy,llc Su 140, Elkhorn, NE 68022-4740

Authorised official

Name: Mike Stodden
Title: President
Phone: (402) 289-5013

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 1604 (NE)

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Registry record

NPI: 1013031285
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 10 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.