Individual
EMILIE REISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4109
(308) 398-5170
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 675-1853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3960
NE
Other
Enumeration date
06/11/2019
Last updated
06/20/2019
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