Individual
TINA LEE BRUNCKHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 N 3RD ST, HAMPTON, NE 68843-9238
(402) 366-3854
Mailing address
435 N 3RD ST, HAMPTON, NE 68843-9238
(402) 366-3854
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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