Organization
NEBRASKA PELVIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERRA RACHELLE LARSEN (OWNER, PHYSICAL THERAPIST)
(402) 618-3320
Entity
Organization
Contact information
Practice address
2510 S 140TH ST, OMAHA, NE 68144-2339
(402) 618-3320
(402) 913-3102
Mailing address
2510 S 140TH ST, OMAHA, NE 68144-2339
(402) 618-3320
(402) 913-3102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/02/2020
Last updated
07/10/2024
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