Organization
STODDEN PHYSCIAL THERAPY,L.L.C.
Active
Organization
STODDEN PHYSCIAL THERAPY,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE STODDEN (PRESIDENT / OWNER)
(402) 289-5013
Entity
Organization
Contact information
Practice address
15767 C W HADAN DR, BENNINGTON, NE 68007-2015
(402) 238-2552
(402) 238-3662
Mailing address
15767 C W HADAN DR, BENNINGTON, NE 68007-2015
(402) 238-2552
(402) 238-3662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1604
NE
225100000X
Physical Therapist
Primary
2556
NE
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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