Individual
MRS. MICHELLE M SPICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4911 N 26TH ST, SUITE 100, LINCOLN, NE 68521-4739
(402) 477-3110
(402) 477-4990
Mailing address
4231 BINGHAM LN, LINCOLN, NE 68516-2947
(402) 429-3150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013
STATE LICENSE NUMBER
NE
Enumeration date
08/13/2006
Last updated
07/08/2007
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