Individual
LORI GOEDEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1702 HILLCREST DR, BELLEVUE, NE 68005-3652
(402) 682-4808
Mailing address
1702 HILLCREST DR, BELLEVUE, NE 68005-3652
(402) 682-4808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
00869
IA
225200000X
Physical Therapy Assistant
Primary
593
NE
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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