TREVOR MITCHELL POLIVKA

LINCOLN, NE
NPI1386175636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  H13496390)
Enumeration Date2017-03-27
Last Update Date2017-03-29
Business Address
Mr. TREVOR MITCHELL POLIVKA
8100 N 1ST ST
LINCOLN, NE 68531-8924
Phone number: 402-937-2662
Mailing Address
Mr. TREVOR MITCHELL POLIVKA
8100 N 1ST ST
LINCOLN, NE 68531-8924
Phone number: 402-937-2662