Individual
RACHEL M IDEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1405 N 205TH ST, SU 140, ELKHORN, NE 68022-4740
(402) 289-5013
(402) 289-5018
Mailing address
1405 N 205TH ST, SU 140, ELKHORN, NE 68022-4740
(402) 289-5013
(402) 289-5018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2553
NE
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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