Doctor Name: | NICHOLAS MATTHEW BREUNIG |
NPI Number: | 1710320502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 3154 |
Business Practice Address: | 1760 County Road J Wahoo, NE - 680664152 |
Business Phone Number: | 4024434191 |
Business Fax Number: | 4024431445 |
Mailing Address: | 1760 County Road J, WAHOO |
State: | NE |
Postal Code: | 680664152 |
Phone Number: | 4024434191 |
Fax Number: | 4024431445 |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 3154 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |