Individual
STACEY SCHNEEKLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 551-4970
Mailing address
12709 DEBORAH CIR, OMAHA, NE 68138-5921
(402) 681-5613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
600
NE
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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