Individual
MRS. DEANNA KEAY STICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14905 Q ST, OMAHA, NE 68137-2512
(402) 715-8249
Mailing address
14905 Q ST, OMAHA, NE 68137-2512
(402) 715-8249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
276
NE
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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