Individual
BETHANY WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9609 PARK DR APT 2, OMAHA, NE 68127-3374
(253) 509-8093
Mailing address
9609 PARK DR APT 2, OMAHA, NE 68127-3374
(253) 509-8093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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