Individual
MR. RICKY L BUSSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
559 W 15TH ST, WAHOO, NE 68066-1280
(402) 443-4555
(402) 443-4554
Mailing address
4731 S 153RD CT, OMAHA, NE 68137-5025
(402) 316-9060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2693
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659
STATE LICENSE
NE
Enumeration date
06/29/2007
Last updated
02/05/2014
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