Activate Pt LLC

NPI #1689315129 in Omaha, Nebraska

Provider Information

NPI Number
1689315129
Entity Type
Organization
Organization Name
Activate Pt LLC
Primary Specialty
Physical Therapist
Enumeration Date
Apr 6, 2022
Last Updated
Feb 7, 2023

Practice Location

Address
9015 ARBOR ST STE 155
City
Omaha
ZIP Code
68124-2072
Phone
(402) 580-1606

Authorized Official

Name
DR. NATHANIEL ALLAN WISSINK, PT, DPT, MATCS
Title
OWNER
Phone
(402) 580-1606

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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