Organization
NEBRASKA CITY PHYSICAL THERAPY, LLC
Active
Other names
Exstrom Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL METCALF (CEO)
(402) 334-6027
Entity
Organization
Contact information
Practice address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
(402) 873-7413
Mailing address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
(402) 873-7413
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100258032-00
—
NE
05
—
100259310-00
—
NE
05
—
100259310-01
—
NE
Enumeration date
01/10/2011
Last updated
04/10/2025
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