Individual
MR. CASEY J. MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
830 E 1ST ST, CRETE, NE 68333-3108
(402) 826-2255
(402) 826-2288
Mailing address
PO BOX 294, CRETE, NE 68333-0294
(402) 826-2255
(402) 826-2288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1924
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36516
BLUE CROSS BLUE SHIELD
NE
01
—
650013667
RAILROAD MEDICARE
—
Enumeration date
05/24/2006
Last updated
07/20/2021
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