Individual
JENNIFER HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21015 CUMBERLAND DR, ELKHORN, NE 68022-4110
(402) 505-8504
Mailing address
21015 CUMBERLAND DR, ELKHORN, NE 68022-4110
(402) 505-8504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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