Organization
FAMILY PHYSICAL THERAPY & SPORTS CENTER
Active
Other names
Family Physical Therapy and Chiropractic Services, Family Physical Therapy & Chiropractic Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BRANDON FIDDELKE (BUSINESS MANAGER)
(308) 452-7154
Entity
Organization
Contact information
Practice address
620 E 25TH ST STE 7, KEARNEY, NE 68847-5529
(308) 455-1781
(308) 455-1782
Mailing address
211 W 33RD ST STE A, KEARNEY, NE 68845-3485
(308) 452-7154
(308) 452-3394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1928
NE
Other
Enumeration date
11/09/2017
Last updated
07/27/2022
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