Provider Demographics
NPI:1962699652
Name:PEREZ, RANILO CABACHETE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:RANILO
Middle Name:CABACHETE
Last Name:PEREZ
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S 23RD ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-2902
Mailing Address - Country:US
Mailing Address - Phone:402-298-4555
Mailing Address - Fax:402-298-4123
Practice Address - Street 1:205 S 23RD ST
Practice Address - Street 2:STE 1
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-2902
Practice Address - Country:US
Practice Address - Phone:402-298-4555
Practice Address - Fax:402-298-4123
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist