Individual
MICHAEL J SPICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
559 W 15TH ST, WAHOO, NE 68066-1280
(402) 443-4555
(402) 443-4554
Mailing address
PO BOX 427, WAHOO, NE 68066-0427
(402) 443-4555
(402) 443-4554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3021
NE
Other
Enumeration date
07/07/2011
Last updated
04/10/2012
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