Individual
STEVEN LYLE LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3211 25TH ST., COLUMBUS, NE 68601-1309
(402) 564-5456
(402) 562-6350
Mailing address
3211 25TH ST, COLUMBUS, NE 68601-2473
(402) 564-9569
(402) 562-6350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1647
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36566
BLUE CROSS BLUE SHIELD
NE
05
—
47-082077300
—
NE
Enumeration date
07/10/2006
Last updated
02/14/2017
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