Provider Demographics
NPI:1104417567
Name:KOBZA PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:KOBZA PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KOBZA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:402-680-1617
Mailing Address - Street 1:2110 S 186TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2773
Mailing Address - Country:US
Mailing Address - Phone:402-680-1617
Mailing Address - Fax:402-502-9006
Practice Address - Street 1:11863 S 216TH ST STE 4
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-5406
Practice Address - Country:US
Practice Address - Phone:402-502-9004
Practice Address - Fax:402-502-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy