Individual
ADAM LIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3219 CENTRAL AVE, SUITE 105, KEARNEY, NE 68847-2949
(308) 865-7182
(308) 865-2881
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 382-0344
(308) 382-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3565
NE
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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