# R&T WAGELIE THERAPY INCORPORATED

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

## Provider details

- **NPI number:** 1831354240
- **Authorized official:** MR. RICK WAGELIE O.T. (PRESIDENT)
- **Authorized official phone:** (402) 290-0931

## Contact information

- **Practice address:** 5156 S 197TH AVENUE CIR, OMAHA, NE 68135-3679
- **Practice address phone:** (402) 290-0931
- **Practice address fax:** (402) 597-0382
- **Mailing address:** 5156 S 197TH AVENUE CIR, OMAHA, NE 68135-3679
- **Mailing address phone:** (402) 290-0931
- **Mailing address fax:** (402) 597-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 03/18/2015