Individual
JESSICA BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
313 E 12TH ST, COZAD, NE 69130-1506
(308) 784-2231
Mailing address
1520 D ST, COZAD, NE 69130-1537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3316
NE
225100000X
Physical Therapist
T-03413
KS
Other
Enumeration date
09/06/2012
Last updated
05/29/2014
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