Individual
LENAE MARIE KOHMETSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1913 ROAD V, BLUE HILL, NE 68930-7430
(402) 984-2765
Mailing address
1913 ROAD V, BLUE HILL, NE 68930-7430
(402) 984-2765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1855
NE
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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