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NPI Code Detail

MEDICARE: DR. ATHENA RACHELLE MENESES DPT, PT

MEDICARE: DR. ATHENA RACHELLE MENESES DPT, PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center4506NE

General Provider Information

NPI Number : 1144065384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ATHENA RACHELLE MENESES DPT, PT
Provider Business Mailing Address
First Line : 413 N 7TH ST
Second Line :
City : PLATTSMOUTH
State : NE
Zip : 68048-1313
Country : US
Telephone Number : 402-730-6644
Fax Number :
Provider Business Practice Location Address
First Line : 306 N 7TH ST
Second Line :
City : PLATTSMOUTH
State : NE
Zip : 68048-1310
Country : US
Telephone Number : 402-296-2196
Fax Number : 402-296-2197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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