Doctor Name: | MICHAEL J SPICKA |
NPI Number: | 1356638696 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 3021 |
Business Practice Address: | 559 W 15th St Wahoo, NE - 680661280 |
Business Phone Number: | 4024434555 |
Business Fax Number: | 4024434554 |
Mailing Address: | Po Box 427, WAHOO |
State: | NE |
Postal Code: | 680660427 |
Phone Number: | 4024434555 |
Fax Number: | 4024434554 |
NPI Enumeration Date: | 07/07/2011 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |