Provider Demographics
NPI:1427350347
Name:WAYMAN, BRIDGET RENEE (PT)
Entity type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:RENEE
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11848 CYDNEY LN
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-6353
Mailing Address - Country:US
Mailing Address - Phone:402-426-2997
Mailing Address - Fax:
Practice Address - Street 1:2900 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1533
Practice Address - Country:US
Practice Address - Phone:402-731-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15382251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic