Individual
KRISTEN FUGLESTAD ECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2824 N 66TH AVE, OMAHA, NE 68104-3928
(402) 551-2110
Mailing address
1304 S ELM ST, SHENANDOAH, IA 51601-2224
(712) 215-5550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3052
NE
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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