Provider Demographics
NPI:1558374942
Name:CROWE, JAMIE C (DPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:C
Last Name:CROWE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:C
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2740 N CLARKSON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-7716
Mailing Address - Country:US
Mailing Address - Phone:402-721-0235
Mailing Address - Fax:
Practice Address - Street 1:2403 S 133RD PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-5905
Practice Address - Country:US
Practice Address - Phone:402-330-8433
Practice Address - Fax:402-330-8616
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist