Organization
WILBER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY BRANDT DPT (OWNER/CEO)
(402) 821-2013
Entity
Organization
Contact information
Practice address
209 W 3RD ST, WILBER, NE 68465-3144
(402) 821-2013
Mailing address
PO BOX 692, WILBER, NE 68465-0692
(402) 821-2013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2801
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026391200
—
NE
Enumeration date
09/21/2012
Last updated
10/05/2022
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