Provider Demographics
NPI:1225998776
Name:RGL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:RGL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAVRA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:402-826-7667
Mailing Address - Street 1:5600 RED TAIL CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2068
Mailing Address - Country:US
Mailing Address - Phone:402-313-6060
Mailing Address - Fax:
Practice Address - Street 1:5600 RED TAIL CIR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2068
Practice Address - Country:US
Practice Address - Phone:402-313-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty