Provider Demographics
NPI:1003609264
Name:JARECKI PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:JARECKI PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JARECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-366-4018
Mailing Address - Street 1:208 ROBIN ST
Mailing Address - Street 2:
Mailing Address - City:TARNOV
Mailing Address - State:NE
Mailing Address - Zip Code:68642-4206
Mailing Address - Country:US
Mailing Address - Phone:402-366-4018
Mailing Address - Fax:
Practice Address - Street 1:110 PINE ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:NE
Practice Address - Zip Code:68644-4623
Practice Address - Country:US
Practice Address - Phone:402-366-4018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy