Individual
ROBERTA ELIZABETH KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3675 N 129TH ST, OMAHA, NE 68164-5211
(402) 493-6800
(402) 614-1635
Mailing address
3675 N 129TH ST, OMAHA, NE 68164-5211
(402) 493-6800
(402) 614-1635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1207
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025328800
—
NE
Enumeration date
08/08/2006
Last updated
03/11/2024
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