Healthcare Provider Details
I. General information
NPI: 1427042688
Provider Name (Legal Business Name): HUSKER REHABILITATION AND WELLNESS CENTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2005
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4911 N 26TH ST SUITE 100
LINCOLN NE
68521-4739
US
IV. Provider business mailing address
4911 N 26TH ST SUITE 100
LINCOLN NE
68521-4739
US
V. Phone/Fax
- Phone: 402-477-3110
- Fax: 402-477-4990
- Phone: 402-477-3110
- Fax: 402-477-4990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
D
ZALMAN
Title or Position: PRESIDENT/OWNER
Credential: MSPT
Phone: 402-477-3110