Thaddeus R Liebig PT, DPT,ATC

NPI 1023019544 - Physical Therapist - 225100000X

NPI Details
NPI 1023019544
Gender Male
Enumeration Date 08/09/2005
Last Updated 07/29/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
401 W DARLENE ST
HARTINGTON NE, 68739-4510, US
Phone (402) 254-3985
Fax (402) 254-3963
Business Location
401 W DARLENE ST
PO BOX 107
HARTINGTON NE, 68739-4510, US
Phone (402) 254-3985
Fax (402) 254-3963
Toxanomy
Taxonomy Code 225100000X
License State South Dakota
License Number 1065
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According to our database, Dr. Thaddeus R Liebig PT, DPT,ATC NPI is 1023019544, taxonomy code is 225100000X and license number is 1065, license state is located at South Dakota. Thaddeus R Liebig PT, DPT,ATC physically located at 401 W Darlene St, Hartington NE, 68739-4510. NPI Number Thaddeus R Liebig PT, DPT,ATC has the Individual type.

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1023019544 NPI number is provided on an as is basis without warranty of any kind. 1023019544 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddeus R Liebig PT, DPT,ATC are for informational purposes only.