Individual
SHANE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
555 CORNHUSKER RD STE 207, BELLEVUE, NE 68005-7918
(402) 614-4300
(402) 614-5211
Mailing address
PO BOX 34699, OMAHA, NE 68134-0699
(402) 932-6731
(402) 614-7835
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3930
NE
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
07/22/2019
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