Individual
STACEY KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W BENJAMIN AVE, NORFOLK, NE 68701-2983
(402) 860-8105
Mailing address
700 W BENJAMIN AVE, NORFOLK, NE 68701-2983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
290
NE
Other
Enumeration date
02/24/2020
Last updated
02/25/2020
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