Organization
HICKMAN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY J. MOELLER PT (OWNER / PT)
(402) 792-2223
Entity
Organization
Contact information
Practice address
18780 S 68TH ST STE A, HICKMAN, NE 68372-7083
(402) 792-2223
(402) 792-2228
Mailing address
18780 S 68TH ST STE A, HICKMAN, NE 68372-7083
(402) 792-2223
(402) 792-2228
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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