Individual
TIM CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2770 11TH AVE, SIDNEY, NE 69162-9601
(308) 254-6270
Mailing address
1103 5TH ST, CHAPPELL, NE 69129-6930
(970) 319-1359
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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