Individual
MICHAEL CARRAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13336 INDUSTRIAL RD STE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Mailing address
13336 INDUSTRIAL RD STE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1610
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1610
STATE LICENSE
NE
Enumeration date
12/03/2018
Last updated
12/03/2018
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