Organization
SUPERIOR PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J GARDNER MPT (SOLE MEMBER)
(402) 879-0109
Entity
Organization
Contact information
Practice address
308 N CENTRAL AVE, SUPERIOR, NE 68978-1715
(402) 879-0109
(866) 764-0606
Mailing address
PO BOX 263, SUPERIOR, NE 68978-0263
(402) 879-1267
(866) 764-0606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1484
NE
Other
Enumeration date
10/25/2015
Last updated
01/07/2020
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