Healthcare Provider Details

I. General information

NPI: 1417105503
Provider Name (Legal Business Name): SUSAN MARIE ALIANO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7924 N 154TH ST
BENNINGTON NE
68007-1839
US

IV. Provider business mailing address

7924 N 154TH ST
BENNINGTON NE
68007-1839
US

V. Phone/Fax

Practice location:
  • Phone: 402-884-7575
  • Fax:
Mailing address:
  • Phone: 402-884-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number03737
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2096
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: