Individual
TEYLER PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11317 N 142ND STREET, WAVERLY, NE 68462
(402) 217-9611
Mailing address
631 W SAUNDERS AVE, LINCOLN, NE 68521-3567
(402) 217-9611
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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