Organization
KOHOUT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS EUGENE KOHOUT PT, DPT, OCS, SCS (CEO)
(402) 469-3634
Entity
Organization
Contact information
Practice address
115 E. 4TH STREET, YORK, NE 68467
(402) 745-6399
(402) 745-6388
Mailing address
811 S COUNTRY CLUB DR, YORK, NE 68467-4009
(402) 469-3634
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025822500
—
NE
Enumeration date
02/02/2021
Last updated
02/02/2021
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