Organization
ELKHORN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND D KLEEMAN PT (PHYSICAL THERAPIST)
(402) 289-3288
Entity
Organization
Contact information
Practice address
20289 WIRT ST., ELKHORN, NE 68022-1417
(402) 289-3288
(402) 289-2550
Mailing address
20289 WIRT STREET, PO BOX 177, ELKHORN, NE 68022-1417
(402) 289-3288
(402) 289-2550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02067
BCBS
NE
01
—
39576
BCBS
—
Enumeration date
04/21/2006
Last updated
04/20/2008
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