Jennifer Lynne Krueger, MA, ATC
Specialist/Technologist, Athletic Trainer in Omaha, NE. Individual provider (NPI-1).
NPI number1154530228
StatusActive
Last updated in NPPESFeb 3, 2015
Details
- NPI
- 1154530228
- Entity type
- Individual (NPI-1)
- Name
- Miss Jennifer Lynne Krueger
- Credential
- MA, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Last updated
- Feb 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 402 | NE | Yes |
Other names
- Jennifer Lynne Krueger (Former Name)
Practice location
6001 Dodge Street Hper 100Omaha, NE 68182
Phone 402-554-3170
Mailing address
5716 S 95th Plz Apt 8Omaha, NE 68127-3487
Phone 402-540-7677
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