| Organization Name: | RESTORE PHYSICAL THERAPY, LLC |
| NPI Number: | 1063775450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RYAN HRUSKA (PT/OWNER) |
| Mailing Address: | 2607 S 159th Plz Omaha |
| State: | NE US |
| Postal Code: | 681301705 |
| Phone Number: | 4027075769 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2012 |
| NPI Last Update Date: | 09/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |