Individual
CICADA MARCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2909 N 118TH ST STE 200, OMAHA, NE 68164-3643
(402) 509-5532
Mailing address
3894 NW CHEMULT PL, PORTLAND, OR 97229-3157
(701) 289-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65830
OR
225100000X
Physical Therapist
PT-2025-0251
NM
Other
Enumeration date
08/30/2025
Last updated
01/29/2026
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