NPI 1063827699

Deborah Wilson, PTA

Practitioner Massage Therapist Omaha, NE

Practice location

Address: 4951 Center St, Omaha, NE 68106-3251
Phone: (402) 915-3201
Fax: (402) 315-9994
Mailing address: 12011 S 29th St, Bellevue, NE 68123-1402

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 3343 (NE)

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Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1050 (NE)

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Registry record

NPI: 1063827699
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2014
Record last updated: 11 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.