Provider Demographics
NPI:1306564349
Name:ZARYBNICKY, LANDON (DPT, CSCS)
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:
Last Name:ZARYBNICKY
Suffix:
Gender:M
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JEFFERSON COMMUNITY HEALTH & LIFE
Mailing Address - Street 2:2200 H STREET
Mailing Address - City:FAIRBURY
Mailing Address - State:NE
Mailing Address - Zip Code:68352
Mailing Address - Country:US
Mailing Address - Phone:402-729-6840
Mailing Address - Fax:
Practice Address - Street 1:JEFFERSON COMMUNITY HEALTH & LIFE
Practice Address - Street 2:2200 H STREET
Practice Address - City:FAIRBURY
Practice Address - State:NE
Practice Address - Zip Code:68352-6835
Practice Address - Country:US
Practice Address - Phone:402-729-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist