Provider Demographics
NPI:1770845182
Name:WILSON, JAMI LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:LYNN
Last Name:WILSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 NORMAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5240
Mailing Address - Country:US
Mailing Address - Phone:402-488-4282
Mailing Address - Fax:402-488-6157
Practice Address - Street 1:3818 NORMAL BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5240
Practice Address - Country:US
Practice Address - Phone:402-488-4282
Practice Address - Fax:402-488-6157
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist