Organization Name: | LIFETOUCH PHYSICAL THERAPY CENTER PC |
NPI Number: | 1184972457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL EDWARD POTTER (OWNER) |
Mailing Address: | 1200 N 6th St Beatrice |
State: | NE US |
Postal Code: | 683102062 |
Phone Number: | 4022281222 |
Fax Number: | 4022281222 |
NPI Enumeration Date: | 08/17/2012 |
NPI Last Update Date: | 08/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |