Benjamin Robert Holmstedt PT, DPT

NPI 1215204995 - Physical Therapist - 225100000X

NPI Details
NPI 1215204995
Gender Male
Enumeration Date 11/22/2011
Last Updated 11/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
900 LINCOLN AVE
GRANT NE, 69140-3095, US
Phone (308) 289-4290
Fax
Business Location
2207 WESTRIDGE DR
OGALLALA NE, 69153-3213, US
Phone (308) 289-4290
Fax
Toxanomy
Taxonomy Code 225100000X
License State Nebraska
License Number 2743
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According to our database, Benjamin Robert Holmstedt PT, DPT NPI is 1215204995, taxonomy code is 225100000X and license number is 2743, license state is located at Nebraska. Benjamin Robert Holmstedt PT, DPT physically located at 900 Lincoln Ave, Grant NE, 69140-3095. NPI Number Benjamin Robert Holmstedt PT, DPT has the Individual type.

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1215204995 NPI number is provided on an as is basis without warranty of any kind. 1215204995 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Robert Holmstedt PT, DPT are for informational purposes only.