Individual
KYLEE ELISABETH SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
800 STADIUM DRIVE, PO BOX 880128, LINCOLN, NE 68588-0128
(701) 264-0897
Mailing address
1821 S 20TH ST APT 2, LINCOLN, NE 68502-2614
(701) 264-0897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1263
NE
2255A2300X
Athletic Trainer
1291
OK
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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