Doctor Name: | MIKE D BARTELS |
NPI Number: | 1205832508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 847 |
Business Practice Address: | 11336 S 96th St Suite 114 Papillion, NE - 680464209 |
Business Phone Number: | 4023153603 |
Business Fax Number: | 4023153604 |
Mailing Address: | 11336 S 96th St, Suite 114 PAPILLION |
State: | NE |
Postal Code: | 680464209 |
Phone Number: | 4023153603 |
Fax Number: | 4023153604 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 10/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 847 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |