Individual
CALEB SCHANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5057 BLONDO ST, OMAHA, NE 68104-4356
(914) 325-5413
Mailing address
5057 BLONDO ST, OMAHA, NE 68104
(914) 325-5413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3733
NE
225100000X
Physical Therapist
PTL.0014788
CO
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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