Healthcare Provider Details

I. General information

NPI: 1770419277
Provider Name (Legal Business Name): BRITTON L KOZLOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5002 S 24TH ST STE 200
OMAHA NE
68107-2754
US

IV. Provider business mailing address

5002 S 24TH ST STE 200
OMAHA NE
68107-2754
US

V. Phone/Fax

Practice location:
  • Phone: 316-559-5333
  • Fax:
Mailing address:
  • Phone: 316-559-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2239
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: