Individual
KATELYN MARIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 W 3RD ST, WILBER, NE 68465-3144
(402) 821-3320
Mailing address
1453 W 13TH ST, CRETE, NE 68333-2000
(402) 239-6924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052
NE
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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