Individual
ASHLEY RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 MEMORIAL STADIUM DR, ATHLETIC MEDICINE, LINCOLN, NE 68588-0031
(402) 472-1405
Mailing address
321 N 44TH ST, APT 802, LINCOLN, NE 68503-3737
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
09/23/2016
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