Provider Demographics
NPI:1679101430
Name:RECH PHYSIO
Entity Type:Organization
Organization Name:RECH PHYSIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-641-3176
Mailing Address - Street 1:2116 INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-2258
Mailing Address - Country:US
Mailing Address - Phone:402-641-3176
Mailing Address - Fax:402-817-5568
Practice Address - Street 1:2116 INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-2258
Practice Address - Country:US
Practice Address - Phone:402-641-3176
Practice Address - Fax:402-817-5568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-28
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty