Tri-State Physicians & Physical Therapy Clinic PC
NPI #1114180767 in South Sioux City, Nebraska
Provider Information
- NPI Number
- 1114180767
- Entity Type
- Organization
- Organization Name
- Tri-State Physicians & Physical Therapy Clinic PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 3, 2008
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 3900 DAKOTA AVE STE 6
- City
- South Sioux City
- State
- Nebraska
- ZIP Code
- 68776-3696
- Phone
- (402) 494-5173
Authorized Official
- Name
- DR. TIM E LUSE, D.C.
- Title
- MEDICAL ADMINISTRATOR
- Phone
- (402) 494-5173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Specialist |
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