Individual
AMBER MARIE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
4519 S 24TH ST, OMAHA, NE 68107-1817
(402) 557-3600
Mailing address
2959 S 120TH ST, APARTMENT 124, OMAHA, NE 68144-4381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
433
NE
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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