Individual
MR. JOHN ANDREW MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7602 PACIFIC ST, SUITE 301, OMAHA, NE 68114-5405
(402) 393-3077
Mailing address
7602 PACIFIC ST, SUITE 301, OMAHA, NE 68114-5405
(402) 393-3077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
673
NE
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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