Individual
MRS. KAMI LYNELL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18717 U ST, OMAHA, NE 68135-4150
(402) 981-3944
Mailing address
18717 U ST, OMAHA, NE 68135-4150
(402) 981-3944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753
PHYSICAL THERAPIST ASSIST
NE
Enumeration date
08/22/2007
Last updated
08/11/2010
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