| Doctor Name: | MR. CASEY J. MOELLER |
| NPI Number: | 1205881471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1924 |
| Business Practice Address: | 18780s 68th St A Hickman, NE - 683727083 |
| Business Phone Number: | 4027922223 |
| Business Fax Number: | 4027922228 |
| Mailing Address: | 1550s Coddington Ave C, LINCOLN |
| State: | NE |
| Postal Code: | 685224402 |
| Phone Number: | 4024230303 |
| Fax Number: | 4024230202 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 1924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |