Aubrey Peckham, DPT

Individual provider Active NPI Physical Therapist · Benkelman, NE

NPI 1871230482 · NPPES record last updated May 16, 2022

Key facts

NPI
1871230482
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
4217 (NE)
Practice address
1313 N Cheyenne St
Benkelman, NE 69021-3074
Phone
(308) 423-7013
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4217NEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4217 NE Yes

Addresses

Primary practice location

1313 N Cheyenne St
Benkelman, NE 69021-3074

Mailing address

1313 N Cheyenne St
Benkelman, NE 69021-3074

Other providers in Benkelman, NE

All providers in Benkelman, NE · Physical Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.