Individual
STACY DAHLKOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5801 S 84TH ST, LINCOLN, NE 68516-3804
(308) 353-8124
Mailing address
2348 NW 50TH ST, LINCOLN, NE 68524-1512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
614
NE
Other
Enumeration date
12/16/2014
Last updated
10/06/2021
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