Individual
MICHAEL MORAVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2970 10TH ST, SUITE 1, GERING, NE 69341-1763
(308) 633-5361
(308) 633-5365
Mailing address
3510 AVENUE B, SUITE A, SCOTTSBLUFF, NE 69361-1763
(308) 633-7878
(308) 633-5365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2272
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026734200
—
NE
Enumeration date
08/06/2007
Last updated
06/10/2020
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