Provider Demographics
NPI:1750022505
Name:ARENS, ROSS A (MS, LAT, ATC, OPE-C)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:A
Last Name:ARENS
Suffix:
Gender:M
Credentials:MS, LAT, ATC, OPE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 E 29TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4679
Mailing Address - Country:US
Mailing Address - Phone:712-541-3996
Mailing Address - Fax:
Practice Address - Street 1:1750 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-3299
Practice Address - Country:US
Practice Address - Phone:712-541-3996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer