Individual
KELLY BEWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10730 PACIFIC ST STE 210, OMAHA, NE 68114-4761
(402) 753-7230
Mailing address
720 BOULEVARD ST LOT 4, FREMONT, NE 68025-8652
(402) 277-0637
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1200
NE
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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