Healthcare Provider Details

I. General information

NPI: 1679073019
Provider Name (Legal Business Name): CATALYST CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 S 56TH ST STE 314
LINCOLN NE
68516-1889
US

IV. Provider business mailing address

5400 S 56TH ST STE 314
LINCOLN NE
68516-1889
US

V. Phone/Fax

Practice location:
  • Phone: 402-310-5692
  • Fax:
Mailing address:
  • Phone: 531-500-3259
  • Fax: 531-500-4205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOHN DANIEL HUFFMAN
Title or Position: OWNER
Credential: DC
Phone: 402-310-5692