Healthcare Provider Details

I. General information

NPI: 1801297353
Provider Name (Legal Business Name): TRICIA SAXTON MS, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6902 PINE ST
OMAHA NE
68106-2855
US

IV. Provider business mailing address

985450 NEBRASKA MEDICAL CTR
OMAHA NE
68198-5450
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6418
  • Fax: 402-559-5737
Mailing address:
  • Phone: 402-559-6415
  • Fax: 402-559-9263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2330
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: