Jordan J Makovicka, PT
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1154771269
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1154771269
- Entity type
- Individual (NPI-1)
- Name
- Jordan J Makovicka
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2016
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3583 | NE | Yes |
Practice location
10831 Old Mill Rd300
Omaha, NE 68154-2640
Phone 402-502-2290 · Fax 402-505-3922
Mailing address
3830 N 167th CtOmaha, NE 68116-8067
Phone 402-502-2290 · Fax 402-505-3922
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