Organization
LINCOLN PHYSICAL THERAPY AND SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD WEMHOFF PT (OWNER/PT)
(402) 421-2700
Entity
Organization
Contact information
Practice address
2222 S 16TH ST, STE 220, LINCOLN, NE 68502-3796
(402) 441-1300
Mailing address
1501 PINE LAKE RD, STE 20, LINCOLN, NE 68512-3636
(402) 421-2700
(402) 421-2699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA2838
MEDICARE PTAN
NE
Enumeration date
12/09/2015
Last updated
12/09/2015
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