# MIDWEST REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003116096
- **Authorized official:** JUDE THOMAS COOK M.D. (MANAGER)
- **Authorized official phone:** (402) 960-2941

## Contact information

- **Practice address:** 4955 S 176TH CIR, OMAHA, NE 68135-3435
- **Practice address phone:** (402) 960-2941
- **Mailing address:** 4955 S 176TH CIR, OMAHA, NE 68135-3435
- **Mailing address phone:** (402) 960-2941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 20027 | NE | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010