Doctor Name: | SAMANTHA J MINNICK |
NPI Number: | 1902065394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2640 |
Business Practice Address: | 516 W 14th Ave Ste 200 Holdrege, NE - 68949 |
Business Phone Number: | 3089952865 |
Business Fax Number: | 3089954127 |
Mailing Address: | 2810 W 35th St, Ste 2 KEARNEY |
State: | NE |
Postal Code: | 688452909 |
Phone Number: | 3082377388 |
Fax Number: | 3082377394 |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2640 |
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 |