Individual
RYAN P WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2320 N 6TH ST, BEATRICE, NE 68310-1214
(402) 228-9292
(402) 228-9191
Mailing address
2320 N 6TH ST, BEATRICE, NE 68310-1214
(402) 228-9292
(402) 228-9191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2307
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39907
BCBS
NE
Enumeration date
09/02/2005
Last updated
02/03/2012
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