Provider Demographics
NPI:1033377494
Name:KOBZA, AARON MICHAEL (DPT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHAEL
Last Name:KOBZA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 S 186TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2773
Mailing Address - Country:US
Mailing Address - Phone:402-680-1617
Mailing Address - Fax:
Practice Address - Street 1:11863 S 216TH ST STE 4
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-5406
Practice Address - Country:US
Practice Address - Phone:402-502-9004
Practice Address - Fax:402-502-9006
Is Sole Proprietor?:No
Enumeration Date:2008-06-01
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004235225100000X
NE2642225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist