NPI 1013407733

Athletico Excel Nebraska, LLC

Organisation Clinic/Center Omaha, NE

Practice location

Address: 3301 Dodge St Bldg 1, Omaha, NE 68131-3416
Phone: (402) 351-4500
Fax: (402) 351-1669
Mailing address: 600 Oakmont Ln STE 600c, Westmont, IL 60559-5548

Authorised official

Name: Juana Granados
Title: Credentialing Manager
Phone: (630) 575-1980

Registered specialties (3)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registry record

NPI: 1013407733
Entity type: Organization
NPI issued: 17 May 2018
Record last updated: 17 May 2018

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.