Provider Demographics
NPI:1144669813
Name:ESSENTIAL MOTION CHIROPRACTIC AND REHAB, LLC
Entity type:Organization
Organization Name:ESSENTIAL MOTION CHIROPRACTIC AND REHAB, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-380-8902
Mailing Address - Street 1:21015 CUMBERLAND DR STE 201
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4110
Mailing Address - Country:US
Mailing Address - Phone:308-380-8902
Mailing Address - Fax:402-991-7671
Practice Address - Street 1:21015 CUMBERLAND DR SUITE 201
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-6802
Practice Address - Country:US
Practice Address - Phone:308-380-8902
Practice Address - Fax:402-991-7671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty