Individual
EMMALEE KRUSSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 S 72ND ST, LA VISTA, NE 68128-2658
(402) 537-6200
Mailing address
7600 S 72ND ST, LA VISTA, NE 68128-2658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2966
NE
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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