Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 3529 | NE |
NPI | 1003198714 |
---|---|
Provider Name | Heather L Dempsey |
First Address | Omaha, NE 68107-2703 |
Second Address | Omaha, NE 68118-2244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2011 |
Last Update Date | 13/09/2021 |