Individual
JOHN MAKOVICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
640 W 6TH ST, NORTH BEND, NE 68649-4430
(402) 652-8201
(402) 652-8202
Mailing address
PO BOX 211, DAVID CITY, NE 68632-0211
(402) 652-8201
(402) 652-8202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
243
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025247500
—
NE
Enumeration date
06/07/2006
Last updated
10/01/2014
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