Individual
IKHEON SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CSCS
Contact information
Practice address
9117 Z CIR, OMAHA, NE 68127-4016
(402) 230-8852
Mailing address
9117 Z CIR, OMAHA, NE 68127-4016
(402) 230-8852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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