Organization
THE PELVIC PHYSIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA IVES (OWNER/PHYSICAL THERAPIST)
(218) 779-7485
Entity
Organization
Contact information
Practice address
2806 S 110TH CT, OMAHA, NE 68144-4814
(218) 779-7485
(402) 819-0916
Mailing address
2806 S 110TH CT, OMAHA, NE 68144-4814
(402) 502-8374
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144461583
—
NE
05
—
1215672233
—
NE
05
—
1265913214
—
NE
Enumeration date
04/17/2021
Last updated
02/01/2024
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