| Doctor Name: | CARLY HIEBNER |
| NPI Number: | 1689007569 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 3246 |
| Business Practice Address: | 905 N Custer Ave Grand Island, NE - 688034304 |
| Business Phone Number: | 3083982170 |
| Business Fax Number: | 3083985232 |
| Mailing Address: | 620 N Diers Ave, Suite 300 GRAND ISLAND |
| State: | NE |
| Postal Code: | 688034984 |
| Phone Number: | 3083820344 |
| Fax Number: | 3083820341 |
| NPI Enumeration Date: | 08/15/2013 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3246 |
| 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 |