Provider Demographics
NPI:1982997573
Name:MCMEEN PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:MCMEEN PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-872-5111
Mailing Address - Street 1:325 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822-2213
Mailing Address - Country:US
Mailing Address - Phone:308-872-5111
Mailing Address - Fax:308-872-5115
Practice Address - Street 1:201 E OCONNOR AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:NE
Practice Address - Zip Code:68842-4215
Practice Address - Country:US
Practice Address - Phone:308-428-5111
Practice Address - Fax:308-428-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy