Individual
TYLER KOHMETSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6941 CROOKED CREEK CT, LINCOLN, NE 68516-5128
(402) 416-2589
Mailing address
6941 CROOKED CREEK CT, LINCOLN, NE 68516-5128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
08/29/2014
Last updated
09/04/2014
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