| Doctor Name: | ROBERT E WIECK |
| NPI Number: | 1891998928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2839 |
| Business Practice Address: | 3315 10th St Gering, NE - 693411731 |
| Business Phone Number: | 3086335361 |
| Business Fax Number: | 3086335365 |
| Mailing Address: | Po Box 1790, DOUGLAS |
| State: | WY |
| Postal Code: | 826331790 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2839 |
| 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 |