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1003970229
TIFFANY ANN LUECK
GRAND ISLAND, NE
NPI
1003970229
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Former Name
TIFFANY ANN SELLERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 2232)
Enumeration Date
2006-12-21
Last Update Date
2022-09-02
Business Address
TIFFANY ANN LUECK PT
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-398-5170
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Mailing Address
TIFFANY ANN LUECK PT
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: 308-675-1853
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