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NPI Code Detail

MEDICARE: MRS. DEEANNE CAIN P.T.

MEDICARE: MRS. DEEANNE CAIN P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3795NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112215604OTHERNECAQH

General Provider Information

NPI Number : 1356590103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEEANNE CAIN P.T.
Provider Business Mailing Address
First Line : 2501 CAPEHART RD
Second Line :
City : BELLEVUE
State : NE
Zip : 68123
Country : US
Telephone Number : 402-294-8509
Fax Number :
Provider Business Practice Location Address
First Line : 2501 CAPEHART RD
Second Line :
City : OFFUTT AFB
State : NE
Zip : 68113-1043
Country : US
Telephone Number : 402-861-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2008
Last Update Date : 12/03/2025

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