Healthcare Provider Details

I. General information

NPI: 1699685396
Provider Name (Legal Business Name): DIVINE TOUCH PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W 30TH AVE
BELLEVUE NE
68005-5509
US

IV. Provider business mailing address

403 W 30TH AVE
BELLEVUE NE
68005-5509
US

V. Phone/Fax

Practice location:
  • Phone: 531-772-3279
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY JONES
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 531-772-3279