Individual
JOEL CHESLEY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
08/12/2011
Last updated
08/12/2011
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