Individual
TARYN A NINEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9370 WESTERN AVE, #107, OMAHA, NE 68114-6750
(402) 762-5118
Mailing address
9370 WESTERN AVE, #107, OMAHA, NE 68114-6750
(402) 762-5118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2656
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39509
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/22/2008
Last updated
09/01/2015
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