Individual
BRENNEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19111 MASON PLZ, ELKHORN, NE 68022-5659
(402) 504-9797
Mailing address
19111 MASON PLZ, ELKHORN, NE 68022-5659
(402) 504-9797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2046
NE
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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