Individual
JOHN JACOB MISCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 991-5642
Mailing address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 991-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3003
NE
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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