Organization
EMPOWER SUBCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEXI LYNN WADDELL (HEAD OF BUS. DEV.)
(605) 545-1642
Entity
Organization
Contact information
Practice address
920 S 107TH AVE STE 211, OMAHA, NE 68114-4719
(402) 979-1775
Mailing address
920 S 107TH AVE STE 211, OMAHA, NE 68114-4719
(402) 979-1775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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