Kinetic Rehab, LLC

NPI #1629413174 in Omaha, Nebraska

Provider Information

NPI Number: 1629413174
Entity Type: Organization
Organization Name: Kinetic Rehab, LLC
Primary Specialty: Specialist
Enumeration Date: May 9, 2013
Last Updated: May 9, 2013

Practice Location

Address: 105 S 90TH ST
City: Omaha
State: Nebraska
ZIP Code: 68114-3963
Phone: (402) 913-0934

Authorized Official

Name: MR. CHRIS BERAN
Title: OWNER
Phone: (402) 980-2173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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