Individual
MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5335
(402) 496-0404
Mailing address
12427 S 218TH AVE, GRETNA, NE 68028-5981
(402) 651-9938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
576
NE
Other
Enumeration date
07/08/2014
Last updated
01/18/2017
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