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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