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Individual

JAKE F BLATTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RD, CSSD

Contact information

Practice address
800 STADIUM DR, LINCOLN, NE 68588-0030
(507) 696-5935
Mailing address
7858 CREEK VIEW DR, LINCOLN, NE 68516-3843
(507) 696-5935

Taxonomy

Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
NE

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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