Individual
SHELLY URKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E MORRIS ST, CLARKS, NE 68628-2881
(402) 469-9107
Mailing address
102 E MORRIS ST, CLARKS, NE 68628-2881
(402) 469-9107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
944
NE
2255A2300X
Athletic Trainer
485
NE
Other
Enumeration date
01/16/2015
Last updated
06/05/2020
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