Individual
MR. JOHN A CERVANTES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
636 N 20TH AVE, BLAIR, NE 68008-1116
(402) 426-3488
(402) 426-3488
Mailing address
636 N 20TH AVE, BLAIR, NE 68008-1116
(402) 426-3488
(402) 426-3488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
894
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
04/21/2006
Last updated
05/23/2025
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