Jackson Matuella, PT, DPT

NPI 1275101743 · on the registry since 2021 · sole proprietor

Practice

Address: 625 N 144th Ave Ste 102
Omaha, NE 68154
Phone: (402) 934-8688
Organisation at this address: Frank D Odorisio
James F Pietro Dds
James Vincent Pietro Dds
Omaha Physical Therapy Institute, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska