Individual
JASON ENSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
(402) 465-7508
Mailing address
5000 SAINT PAUL AVE, LINCOLN, NE 68504-2760
(402) 465-7508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
467
NE
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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