Provider Demographics
NPI:1710556873
Name:ROHRICH, LANE CHARLES (DPT)
Entity Type:Individual
Prefix:
First Name:LANE
Middle Name:CHARLES
Last Name:ROHRICH
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:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PIERCE
Mailing Address - State:NE
Mailing Address - Zip Code:68767-0008
Mailing Address - Country:US
Mailing Address - Phone:402-329-4050
Mailing Address - Fax:402-329-4057
Practice Address - Street 1:105 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PIERCE
Practice Address - State:NE
Practice Address - Zip Code:68767-1343
Practice Address - Country:US
Practice Address - Phone:402-329-4050
Practice Address - Fax:402-329-4057
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4226225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist