Individual
TYLER WEEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 COURT ST, LINCOLN, NE 68588-1098
(319) 361-8822
Mailing address
2215 S 35TH ST, LINCOLN, NE 68506-6012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
583
NE
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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