Individual
CURTIS DANIEL SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
2500 CALIFORNIA PLAZA, OMAHA, NE 68178
(402) 280-5554
(402) 280-3110
Mailing address
12903 VERNON AVENUE, OMAHA, NE 68164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
462
NE
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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