Provider Demographics
NPI:1760064380
Name:WOLKEN THERAPY & WELLNESS LLC
Entity type:Organization
Organization Name:WOLKEN THERAPY & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WOLKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:402-380-2826
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68045-0101
Mailing Address - Country:US
Mailing Address - Phone:402-685-4499
Mailing Address - Fax:402-685-4491
Practice Address - Street 1:312 N OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NE
Practice Address - Zip Code:68045-1196
Practice Address - Country:US
Practice Address - Phone:402-685-4499
Practice Address - Fax:402-685-4491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy