Individual
DIETRICK TODD STUKENHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1240 N 19TH ST, NEBRASKA CITY, NE 68410-1119
(402) 209-3914
Mailing address
1340 S 64TH RD, NEBRASKA CITY, NE 68410-6822
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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