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Individual

MARC HUNLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
625 N 144TH AVE STE 102, OMAHA, NE 68154-1935
(402) 934-8688
(402) 934-8689
Mailing address
625 N 144TH AVE STE 102, OMAHA, NE 68154-1935
(402) 934-8688
(402) 934-8689

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2841
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099979004
MEDICARE PTAN
NE
Enumeration date
06/16/2005
Last updated
11/04/2016
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