Organization
TAYLOR CREEK PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI L JAGELS PT (PHYSICAL THERAPIST)
(402) 454-9300
Entity
Organization
Contact information
Practice address
119 SADDLE LN, MADISON, NE 68748-6346
(402) 454-9300
(402) 454-9304
Mailing address
119 SADDLE LN, MADISON, NE 68748-6346
(402) 454-9300
(402) 454-9304
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1299
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025607600
—
NE
Enumeration date
04/19/2008
Last updated
04/22/2010
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