Individual
MARISSA KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11336 S 96TH ST STE 114, PAPILLION, NE 68046-4211
(402) 315-3603
Mailing address
25010 330TH ST, MINDEN, IA 51553-4030
(712) 309-6991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
132415
IA
225100000X
Physical Therapist
CP044732T
NE
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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