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Organization

HICKMAN PHYSICAL THERAPY, LLC

Active
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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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