Individual
KATHLEEN LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025941000
—
NE
Enumeration date
06/14/2011
Last updated
06/14/2011
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