Basic Information
| Provider Information | |||||||||
| NPI: | 1538784657 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OLIVIA HUFFMAN, PT, DPT, PC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5400 S 56TH ST STE 314 | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685161889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5315003259 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5400 S 56TH ST STE 314 | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685161889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5315003259 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2020 | ||||||||
| LastUpdateDate: | 06/15/2020 | ||||||||
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| AuthorizedOfficialLastName: | HUFFMAN | ||||||||
| AuthorizedOfficialFirstName: | OLIVIA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 3083403815 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DPT | ||||||||
| NPICertificationDate: | 06/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.