Healthcare Provider Details

I. General information

NPI: 1457872111
Provider Name (Legal Business Name): TAMIE MARIE DREES PT, DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S 27TH ST STE 103
LINCOLN NE
68512-4872
US

IV. Provider business mailing address

5627 NW 86TH ST STE 200
JOHNSTON IA
50131-1738
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-0020
  • Fax: 402-420-0014
Mailing address:
  • Phone: 515-270-0303
  • Fax: 515-270-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number96755
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: