Organization
PERFORMANCE PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M. KRAMER P.T. (PRESIDENT)
(402) 238-2552
Entity
Organization
Contact information
Practice address
15767 C W HADAN DR, BENNINGTON, NE 68007-2015
(402) 238-2552
(402) 238-2662
Mailing address
15767 C W HADAN DR, BENNINGTON, NE 68007-2015
(402) 238-2552
(402) 238-2662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02011
BLUE CROSS BLUE SHIELD
NE
05
—
100252324-00
—
NE
01
—
5633761
FIRST HEALTH
NE
01
—
F246962
MIDLANDS CHOICE
NE
Enumeration date
01/05/2006
Last updated
08/22/2020
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