Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Lance Destefano, PTA

Individual provider Geriatric Physical Therapist · NPI 1780827998

Mr. Lance Destefano, PTA is a Geriatric Physical Therapist in Syracuse, Nebraska. Licensed in Nebraska. Registered with an NPI since 2009.

Licensed in
NE
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1622 Walnut St
Syracuse, NE 68446-7017
Phone: (402) 269-2251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 827 (NE)

Record details

NPI number1780827998
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 17, 2009
Last updated in NPPESApril 17, 2009
Mailing address9785 Fowler Dr, Papillion, NE 68046-4548

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