| NPI | 1053395350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE RONSPIES Manager/Athletic Trainer 402-861-6683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2026-06-03 |