Individual
TIFFANY S KNIGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4330 S 144TH ST, OMAHA, NE 68137-1051
(402) 614-4000
Mailing address
70985 574TH AVE, FAIRBURY, NE 68352-5525
(402) 239-8142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1878
NE
Other
Enumeration date
09/02/2020
Last updated
09/22/2020
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