Individual
MRS. STACY R KERSTEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT/ATC
Contact information
Practice address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
(402) 330-8616
Mailing address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
(402) 330-8616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02181
IA
225100000X
Physical Therapist
Primary
1065
NE
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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