Healthcare Provider Details

I. General information

NPI: 1376770313
Provider Name (Legal Business Name): JOHN SEHI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 06/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 J ST
OMAHA NE
68127-1218
US

IV. Provider business mailing address

2403 S 133RD PLZ
OMAHA NE
68144-5905
US

V. Phone/Fax

Practice location:
  • Phone: 402-593-7345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2757
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: