Individual
DR. BRIAN FRANCIS TACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
418 S 38TH AVE, APT #21, OMAHA, NE 68131-3849
(605) 660-3916
Mailing address
418 S 38TH AVE, APT #21, OMAHA, NE 68131-3849
(605) 660-3916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3480
NE
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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