NPI 1083127682

Derek J Tjepkes, PTA

Practitioner Physical Therapy Assistant Bellevue, NE

Practice location

Address: 1702 Hillcrest Dr, Bellevue, NE 68005-3652
Phone: (402) 682-4214
Mailing address: 4707 N 176th St, Omaha, NE 68116-1151

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1632 (NE)

Other Physical Therapy Assistant providers in Nebraska →

Registry record

NPI: 1083127682
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2017
Record last updated: 6 Nov 2017

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.