Individual
MAGGIE SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11506 NICHOLAS ST STE 110, OMAHA, NE 68154-4421
(877) 230-3885
Mailing address
1154 NATURE RUN RD, BATAVIA, OH 45103-1040
(513) 600-1931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YED887599925
BLUE CROSS BLUE SHIELD OF NEBRASKA
NE
Enumeration date
02/10/2012
Last updated
02/10/2012
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