Individual
JAY LAWRENCE SPRACKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2845 S 70TH ST, LINCOLN, NE 68506
(402) 489-1999
(402) 489-4153
Mailing address
2845 S 70TH ST, LINCOLN, NE 68506
(402) 489-1999
(402) 489-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1233
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76058051000
—
NE
Enumeration date
11/08/2006
Last updated
11/05/2008
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