Individual
JACKSON HOFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4614 S 132ND ST, OMAHA, NE 68137-1764
(402) 330-3211
(402) 330-5970
Mailing address
4614 S 132ND ST, OMAHA, NE 68137-1764
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4311
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
12/15/2021
Last updated
12/15/2021
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