Organization
WHOLISTIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M DZINGLE-NIEMOTH PTA (CO-OWNER)
(402) 744-2000
Entity
Organization
Contact information
Practice address
240 W 94TH ST, HASTINGS, NE 68901-1975
(402) 744-2000
Mailing address
240 W 94TH ST, HASTINGS, NE 68901-1975
(402) 744-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2468
NE
225XP0200X
Pediatric Occupational Therapist
Primary
1204
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02099
BCBSNE
NE
01
—
02302
BCBSNE
NE
05
—
10025372500
—
NE
05
—
10025372600
—
NE
Enumeration date
11/05/2007
Last updated
04/20/2008
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