Individual
STACIE N. NIEVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6900 A ST, STE 102, LINCOLN, NE 68510-4120
(402) 436-2535
Mailing address
5790 N 33RD ST, STE A, LINCOLN, NE 68504-4651
(402) 436-2535
(402) 436-2996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3356
NE
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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