Individual
KATHLEEN JOANN HOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2085 N 120TH ST, SUITE D8, OMAHA, NE 68164-3479
(402) 445-4335
(402) 445-6162
Mailing address
505 RIDGE RD N, COUNCIL BLUFFS, IA 51503-0357
(712) 256-4995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1031
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025222400
—
NE
Enumeration date
06/01/2006
Last updated
05/15/2013
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