Midwest Spine Clinic LLC

NPI #1669445524 in Omaha, Nebraska

Provider Information

NPI Number: 1669445524
Entity Type: Organization
Organization Name: Midwest Spine Clinic LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1910 SOUTH 72ND ST
Address 2: STE 302
City: Omaha
State: Nebraska
ZIP Code: 68124-1734
Phone: (402) 391-2635

Authorized Official

Name: DR. JAMES R STAHELI, DO
Title: OWNER
Phone: (402) 391-2635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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