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ATHLETICO EXCEL NEBRASKA LLC NPI 1477012177


NPI Information

NPI: 1477012177
Provider Name: ATHLETICO EXCEL NEBRASKA, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
200 N 66TH ST # 20
LINCOLN, NE
ZIP 68505
Phone: (402) 327-1433
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ATHLETICO EXCEL NEBRASKA, LLC is a clinic center in Lincoln, NE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ATHLETICO EXCEL NEBRASKA, LLC NPI is 1477012177. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 N 66TH ST # 20
LINCOLN, NE
ZIP 68505-575
Phone: (402) 327-1433
Fax: (402) 972-8855

The provider's authorized official is Juana Granados .
The authorized official title is Credentialing Manager and has the following contact phone number (630) 575-1980.

The enumeration date for this NPI number is 3/13/2019 and was last updated on 3/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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