Individual
BRETT I SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
(402) 873-7413
Mailing address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
(402) 873-7413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1035
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36520
BCBS
NE
01
—
650016963
RR MEDICARE
NE
Enumeration date
10/06/2006
Last updated
01/24/2013
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