Individual
MRS. AMY LYNN SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
13911 GOLD CIR, STE 110, OMAHA, NE 68144-2378
(402) 933-8383
(402) 933-8382
Mailing address
3929 S 179TH TER, OMAHA, NE 68130-2243
(402) 689-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1561
NE
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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