Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2028 | NE |
N | 2251S0007X | Physical Therapist - Sports | 2028 | NE |
N | 2251X0800X | Physical Therapist - Orthopedic | 2028 | NE |
NPI | 1467526491 |
---|---|
Provider Name | Nicole J. Weinhold |
First Address | Bellevue, NE 68123-4307 |
Second Address | Omaha, NE 68127-2952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 05/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10025518000 | (05) | NE |
10025518100 | (05) | NE |
10025518200 | (05) | NE |
1467526491 | INDIVIDUAL NPI # (01) | NE |
1548481187 | GROUP NPI (01) | NE |
Q13720 | (02) | NE |