Western Trails Physical Therapy, LLC

NPI #1700175619 in Mitchell, Nebraska

Provider Information

NPI Number: 1700175619
Entity Type: Organization
Organization Name: Western Trails Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 31, 2011
Last Updated: Mar 31, 2011

Practice Location

Address: 1463 19TH AVE
Address 2: SUITE B
City: Mitchell
State: Nebraska
ZIP Code: 69357-1455
Phone: (308) 623-1313

Authorized Official

Name: JOHN WESLY BOWLIN, D.P.T.
Title: OWNER/MANAGER/PRESIDENT
Phone: (308) 623-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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