Individual
BRADEN THIESZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2222 N LINCOLN AVE, YORK, NE 68467-1030
(402) 362-0436
Mailing address
2222 N LINCOLN AVE, YORK, NE 68467-1030
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2577
NE
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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