Individual
SHAYLEE DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
720 N HIGHWAY 6, GRETNA, NE 68028-7950
(402) 332-3773
Mailing address
720 N HIGHWAY 6, GRETNA, NE 68028-7950
(402) 332-3773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1179
NE
Other
Enumeration date
05/07/2013
Last updated
11/05/2015
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