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Organization

BLUFFS PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MORAVEC PT, DPT (OWNER)
(308) 633-7878
Entity
Organization

Contact information

Practice address
3510 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 633-7878
(308) 633-7018
Mailing address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 633-7878
(308) 633-7018

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093906034
MIDLANDS CHOICE
NE
Enumeration date
03/16/2018
Last updated
06/10/2020
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