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Individual

MISS AMANDA KAYE PUEPPKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
10601 S 72ND ST, STE. 103, PAPILLION, NE 68046-3407
(402) 932-2782
(402) 932-2705
Mailing address
10601 S 72ND ST, STE. 103, PAPILLION, NE 68046-3407
(402) 932-2782
(402) 932-2705

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004635
IA
225100000X
Physical Therapist
Primary
2897
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025611200
NE
Enumeration date
07/09/2010
Last updated
05/30/2015
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