Individual
STANFORD MERADITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1651 N 86TH ST, STE 100, LINCOLN, NE 68505-3719
(402) 484-7117
Mailing address
1651 N 86TH ST, STE 100, LINCOLN, NE 68505-3719
(402) 484-7117
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4807
NE
Other
Enumeration date
06/12/2025
Last updated
12/09/2025
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