Healthcare Provider Details

I. General information

NPI: 1689006702
Provider Name (Legal Business Name): DEBORAH A KOBZA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 S 70TH ST SUITE 1
LINCOLN NE
68506-6821
US

IV. Provider business mailing address

2810 W 35TH ST SUITE 2
KEARNEY NE
68845-2909
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-1999
  • Fax: 402-489-4153
Mailing address:
  • Phone: 308-237-7388
  • Fax: 308-237-7394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1496
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: