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NPI Code Detail

MEDICARE: MR. MATTHEW PAUL OESTMANN PT

MEDICARE:  MR. MATTHEW PAUL OESTMANN  PT
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 Therapist2315NE

General Provider Information

NPI Number : 1972801306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW PAUL OESTMANN PT
Provider Business Mailing Address
First Line : 1804 HILLCREST DR
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-3663
Country : US
Telephone Number : 402-682-4808
Fax Number : 402-682-6563
Provider Business Practice Location Address
First Line : 1820 HILLCREST DR
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-3636
Country : US
Telephone Number : 402-682-4808
Fax Number : 402-682-6563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 03/10/2023

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Directions to “ MR. MATTHEW PAUL OESTMANN PT” Practice Location

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