Healthcare Provider Details

I. General information

NPI: 1255250759
Provider Name (Legal Business Name): DR. BREEANA LOREE ECKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17055 FRANCES ST STE 100
OMAHA NE
68130-4655
US

IV. Provider business mailing address

10316 BROADMOOR CT APT 1216
OMAHA NE
68114-4828
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-3555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4991
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: