Individual
STACEY MITLEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 POLE CREEK XING, SIDNEY, NE 69162-2901
(308) 254-5355
Mailing address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 633-7878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1094
NE
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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