Active Spine Physical Therapy, LLC

NPI #1508139494 in Omaha, Nebraska

Provider Information

NPI Number: 1508139494
Entity Type: Organization
Organization Name: Active Spine Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 22, 2012
Last Updated: Jul 6, 2021

Practice Location

Address: 11810 NICHOLAS ST STE 103
City: Omaha
State: Nebraska
ZIP Code: 68154-4453
Phone: (402) 932-2888

Authorized Official

Name: NICHOLAS CHRISTOPHER MUCHOWICZ, PT
Title: OWNER
Phone: (402) 932-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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