Healthcare Provider Details

I. General information

NPI: 1497108112
Provider Name (Legal Business Name): AMELIA R STIGGE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9006 OHIO ST STE 2
OMAHA NE
68134-6139
US

IV. Provider business mailing address

9006 OHIO ST STE 1
OMAHA NE
68134-6139
US

V. Phone/Fax

Practice location:
  • Phone: 402-391-7575
  • Fax: 402-391-1508
Mailing address:
  • Phone: 402-391-7575
  • Fax: 402-391-1508

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: