MEDICARE: CYNTHIA MARIE FIETEK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1811852650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MARIE FIETEK

Provider Business Mailing Address
First Line	:	4715 S 132ND ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68137-1899
Country	:	US
Telephone Number	:	402-444-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 E MILITARY AVE
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-5489
Country	:	US
Telephone Number	:	402-317-3228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ CYNTHIA MARIE FIETEK ” Practice Location

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