Individual
MS. STACI RENEE VENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
8320 N 28TH AVE, OMAHA, NE 68112-2239
(402) 991-9022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1687
NE
Other
Enumeration date
06/14/2006
Last updated
09/03/2008
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