Individual
MISS AMANDA A HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
575 S 70TH ST STE 200, LINCOLN, NE 68510-2471
(402) 488-3322
Mailing address
431 N 44TH ST APT 1435, LINCOLN, NE 68503-3757
(402) 617-1896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
345
NE
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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