Organization
REHABVISIONS THERAPY MO LLC
Active
Other names
Edge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA GODFREY (CLINIC ADMINISTRATIVE DIRECTOR)
(402) 334-6025
Entity
Organization
Contact information
Practice address
11336 S 96TH ST STE 114, PAPILLION, NE 68046-4211
(402) 315-3603
(402) 315-3604
Mailing address
11623 ARBOR ST STE 200, OMAHA, NE 68144-2991
(402) 334-6025
(402) 334-6025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174344618
NPI
NE
Enumeration date
10/17/2024
Last updated
04/01/2025
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