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Individual

MISS EMMA LOUISE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, ATC

Contact information

Practice address
19520 DEWEY AVE, ELKHORN, NE 68022-2760
(402) 699-0329
Mailing address
19520 DEWEY AVE, ELKHORN, NE 68022-2760
(402) 699-0329

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2041
NE
2255A2300X
Athletic Trainer
Primary
1149
NE
2255A2300X
Athletic Trainer
1149

Other

Enumeration date
01/22/2020
Last updated
03/12/2026
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