Healthcare Provider Details

I. General information

NPI: 1992554034
Provider Name (Legal Business Name): HANNAH HORNE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 S 56TH ST STE 1
LINCOLN NE
68516-3392
US

IV. Provider business mailing address

6101 S 56TH ST STE 1
LINCOLN NE
68516-3392
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-0800
  • Fax: 402-420-0801
Mailing address:
  • Phone: 402-420-0800
  • Fax: 402-420-0801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: