Individual
CHRISTOPHER MATTHEW STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8031 W CENTER RD STE 300, OMAHA, NE 68124-3134
(402) 763-4408
Mailing address
10616 S 111TH AVE, PAPILLION, NE 68046-5549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
088968
IA
225100000X
Physical Therapist
Primary
3746
NE
Other
Enumeration date
08/15/2017
Last updated
08/28/2017
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