Individual
KENJIRO SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 S 78TH ST APT 5, OMAHA, NE 68114-4547
(408) 504-4528
Mailing address
452 S 78TH ST APT 5, OMAHA, NE 68114-4547
(408) 504-4528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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