Individual
ETHAN R EVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6540 S 84TH ST, STE 100, LINCOLN, NE 68516-3909
(402) 770-9775
Mailing address
PO BOX 67250, LINCOLN, NE 68506-7250
(402) 328-8833
(888) 965-0959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2775
NE
Other
Enumeration date
08/25/2016
Last updated
12/12/2016
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