Healthcare Provider Details

I. General information

NPI: 1841846896
Provider Name (Legal Business Name): COURTNEY K LABENZ PT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2019
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S BURLINGTON AVE
HASTINGS NE
68901-5905
US

IV. Provider business mailing address

207 S BURLINGTON AVE
HASTINGS NE
68901-5905
US

V. Phone/Fax

Practice location:
  • Phone: 402-462-8824
  • Fax: 402-462-8017
Mailing address:
  • Phone: 402-462-8824
  • Fax: 402-462-8017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4747
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1709
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: