Organization
LEADING EDGE, INC
Active
Other names
Edge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D BARTELS (PRESIDENT)
(402) 315-3603
Entity
Organization
Contact information
Practice address
11336 S 96TH ST, SUITE 114, PAPILLION, NE 68046-4286
(402) 315-3603
(402) 315-3604
Mailing address
11336 S 96TH ST, SUITE 114, PAPILLION, NE 68046-4286
(402) 315-3603
(402) 315-3604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025656400
—
NE
Enumeration date
07/24/2008
Last updated
12/03/2024
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