Individual
TANNER BRICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3415 S 205TH ST # NE68022, ELKHORN, NE 68022-3509
(402) 609-1750
Mailing address
15521 DEWEY CIR, OMAHA, NE 68154-2721
(402) 681-5130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4831
NE
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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