Provider Demographics
NPI:1043081334
Name:MUESSEL, ALEXANDRA TAYLOR (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:TAYLOR
Last Name:MUESSEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 N 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1116
Mailing Address - Country:US
Mailing Address - Phone:402-426-3488
Mailing Address - Fax:
Practice Address - Street 1:636 N 20TH AVE
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1116
Practice Address - Country:US
Practice Address - Phone:402-426-3488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4734225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist