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General NPI Number Information
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NPI Number | 1942792627
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Entity Type | Individual
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Provider Name | JOSHUA W FEDDE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 6909 S 157TH ST STE E
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City | OMAHA
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State | NE
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Zip | 68136-3052
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Country | US
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Telephone | 402-933-5448
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Fax | 402-933-5449
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Provider Business Mailing Address
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Address Line | 1917 ABBOTT RD STE 200
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City | ANCHORAGE
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State | AK
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Zip | 99507-3449
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Country | US
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Telephone | 907-279-4266
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3819
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License Number State | NE
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