Individual
CASEY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6825 S 27TH ST, SUITE 103, LINCOLN, NE 68512-4872
(402) 420-0020
(402) 420-0014
Mailing address
6825 S 27TH ST, SUITE 103, LINCOLN, NE 68512-4872
(402) 420-0020
(402) 420-0014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3597
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025493600
—
NE
Enumeration date
06/21/2016
Last updated
06/21/2016
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