=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598871782
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPING HANDS PHYSICAL THERAPY PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2006
-----------------------------------------------------
Last Update Date | 12/04/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5790 N 33RD ST SUITE A
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68504-4651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-436-2992
-----------------------------------------------------
Fax | 402-436-2541
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5790 N 33RD ST SUITE A
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68504-4651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-436-2992
-----------------------------------------------------
Fax | 402-436-2996
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PT
-----------------------------------------------------
Name | MS. RENEE A TEWES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 402-436-2535
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------