Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1507 | NE |
N | 2251S0007X | Physical Therapist - Sports | 1507 | NE |
N | 2251X0800X | Physical Therapist - Orthopedic | 1507 | NE |
NPI | 1396963815 |
---|---|
Provider Name | Dr. Jeffrey John Zimmerman |
First Address | Omaha, NE 68144-4642 |
Second Address | Omaha, NE 68164-3763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2007 |
Last Update Date | 04/12/2019 |