Provider Demographics
NPI:1679534960
Name:BEDNAR, THOMAS (PT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:BEDNAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:BEDNAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3444 S STUHR RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-9516
Mailing Address - Country:US
Mailing Address - Phone:308-390-2424
Mailing Address - Fax:
Practice Address - Street 1:3444 S STUHR RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-9516
Practice Address - Country:US
Practice Address - Phone:308-390-2424
Practice Address - Fax:308-382-3241
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE681225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist