Rebecca J Sullivan
Specialist/Technologist, Athletic Trainer in Omaha, NE. Individual provider (NPI-1).
NPI number1497410690
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1497410690
- Entity type
- Individual (NPI-1)
- Name
- Rebecca J Sullivan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 205 | NE | Yes |
Practice location
4117 S 120th St # 1250Omaha, NE 68137-1250
Phone 402-719-1194
Mailing address
905 Wilmont StFremont, NE 68025-6214
Phone 402-719-1194
Other practice locations
905 Wilmont St
Fremont, NE 68025-6214
Fremont, NE 68025-6214
Phone 402-719-1194
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All 154 Athletic Trainer providers in Omaha · All 40,392 providers in Omaha
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