Provider Demographics
NPI:1689317380
Name:WESTERBY, COLEMAN
Entity type:Individual
Prefix:
First Name:COLEMAN
Middle Name:
Last Name:WESTERBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 MOHAVE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-9456
Mailing Address - Country:US
Mailing Address - Phone:308-850-3871
Mailing Address - Fax:
Practice Address - Street 1:8500 MOHAVE DR STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-9456
Practice Address - Country:US
Practice Address - Phone:402-486-0602
Practice Address - Fax:402-486-0604
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist