Individual
MISTY WOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3213 W. NORTH FRONT ST., GRAND ISLAND, NE 68803
(308) 381-2424
(308) 381-3646
Mailing address
3213 W. NORTH FRONT ST., GRAND ISLAND, NE 68803
(308) 381-2424
(308) 381-3646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2380
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0707622-00
—
NE
05
—
47-0707622-01
—
NE
Enumeration date
02/07/2007
Last updated
06/18/2020
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