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Organization

BODYWISE THERAPY PC

Active
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Organization

BODYWISE THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA D MILLER P.T. (PRESIDENT)
(402) 932-8686
Entity
Organization

Contact information

Practice address
2504 S 119TH ST, OMAHA, NE 68144-2947
(402) 932-8686
(402) 932-8677
Mailing address
PO BOX 27015, OMAHA, NE 68127-0015
(402) 393-9459
(402) 397-9895

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
257
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02013
BCBS OF NE
NE
05
0722173
IA
Enumeration date
03/16/2007
Last updated
03/04/2008
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