Individual
CASEY WISNIESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1021 N SHORE DR, SCHUYLER, NE 68661-6218
(402) 380-9225
Mailing address
1021 N SHORE DR, SCHUYLER, NE 68661-6218
(402) 380-9225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4202
NE
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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