Individual
MR. BRIAN TIMOTHY BERTHELSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2220 S 123RD ST, OMAHA, NE 68144-2735
(402) 333-5305
Mailing address
2220 S 123RD ST, OMAHA, NE 68144-2735
(402) 333-5305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
230
NE
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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