Individual
KIMBERLY RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
17055 FRANCES ST STE 100, OMAHA, NE 68130-4655
(402) 280-3555
Mailing address
200 S 31ST AVE APT 4206, OMAHA, NE 68131-1407
(208) 841-3131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4143
NE
Other
Enumeration date
09/21/2020
Last updated
09/08/2021
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