Individual
KATIA LIRA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
11335 S 204TH ST, GRETNA, NE 68028-7871
(402) 615-3071
Mailing address
9153 BLACK ST, OMAHA, NE 68122-1823
(402) 615-3071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2020
Last updated
12/31/2021
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