Provider Demographics
NPI:1861692055
Name:ARNOLD, JEFFREY LEE (PT)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:7732 S 71ST ST
Mailing Address - Street 2:
Mailing Address - City:LAVISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-3045
Mailing Address - Country:US
Mailing Address - Phone:402-502-2290
Mailing Address - Fax:402-505-3922
Practice Address - Street 1:8419 S 73RD PLZ STE 104
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-1507
Practice Address - Country:US
Practice Address - Phone:402-991-2745
Practice Address - Fax:402-991-2748
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE21392251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic