Whalio Doctors

NPI 1629296413

Bret Deardorff, MS

Practitioner Recreation Therapist Lincoln, NE

Practice location

Address
801 W Prospector Pl Box 94949, Lincoln, NE 68522-1970
Phone
(402) 479-5002
Mailing address
5824 S 114th St, Omaha, NE 68137-3684

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Registry record

NPI
1629296413
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Apr 2007
Record last updated
8 Jul 2007

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.