Provider Demographics
NPI:1538411038
Name:WARING, GARY E (PT)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:E
Last Name:WARING
Suffix:
Gender:M
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:PO BOX 599
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:NE
Mailing Address - Zip Code:68450-0599
Mailing Address - Country:US
Mailing Address - Phone:402-335-3361
Mailing Address - Fax:402-335-6342
Practice Address - Street 1:202 HIGH ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:NE
Practice Address - Zip Code:68450-2443
Practice Address - Country:US
Practice Address - Phone:402-335-3361
Practice Address - Fax:402-335-6342
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE147225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist