Basic Information
| Provider Information | |||||||||
| NPI: | 1457872111 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DREES | ||||||||
| FirstName: | TAMIE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT, DPT, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5627 NW 86TH ST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | JOHNSTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 501311738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152700303 | ||||||||
| FaxNumber: | 5152700160 | ||||||||
| Practice Location | |||||||||
| Address1: | 6825 S 27TH ST STE 103 | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685124872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024200020 | ||||||||
| FaxNumber: | 4024200014 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 96755 | IA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.