Organization
MILFORD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT I SMITH (OWNER)
(402) 761-4000
Entity
Organization
Contact information
Practice address
511 1ST ST, MILFORD, NE 68405-9701
(402) 761-4000
(402) 761-4005
Mailing address
511 FIRST ST, PO BOX 747, MILFORD, NE 68405
(402) 761-4000
(402) 761-4005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025262300
—
NE
01
—
DD9893
RR MEDICARE
NE
Enumeration date
10/16/2006
Last updated
11/06/2009
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