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General NPI Number Information
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NPI Number | 1053464180
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Entity Type | Organization
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Legal Business Name | HUMAN PERFORMANCE TESTING
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 430 N MONITOR ST
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City | WEST POINT
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State | NE
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Zip | 68788-1555
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Country | US
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Telephone | 402-372-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 E PARK ST
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City | WEST POINT
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State | NE
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Zip | 68788-1949
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Country | US
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Telephone | 402-372-5580
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TERRY FREDRICK NELSON
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Credential | P.T
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Telephone | 402-372-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 808
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License Number State | NE
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