Individual
JOHN H NEBEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1178782401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107045484101
IHC SELECTHEALTH
UT
01
—
88816
PEHP
UT
Enumeration date
07/31/2006
Last updated
07/08/2007
Update your record
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