Healthcare Provider Details

I. General information

NPI: 1013441807
Provider Name (Legal Business Name): FREMONT THERAPY & WELLNESS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 N BELL ST
FREMONT NE
68025-5205
US

IV. Provider business mailing address

410 N BELL ST
FREMONT NE
68025-5205
US

V. Phone/Fax

Practice location:
  • Phone: 402-512-3893
  • Fax:
Mailing address:
  • Phone: 402-512-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1791
License Number StateNE

VIII. Authorized Official

Name: RENE SCHNOOR
Title or Position: OFFICE MANAGER
Credential:
Phone: 402-512-3893