Individual
MICHAEL J HANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1021 S 178TH ST, SUITE 101, OMAHA, NE 68118-3574
(402) 933-3036
(402) 933-3163
Mailing address
1021 S 178TH ST, SUITE 101, OMAHA, NE 68118-3574
(402) 933-3036
(402) 933-3163
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24066
MD
225100000X
Physical Therapist
Primary
3426
NE
Other
Enumeration date
07/27/2012
Last updated
02/02/2015
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