Provider Demographics
NPI:1851819213
Name:HERMAN, HANNAH (MA, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 DODGE ST # FH024
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68182-1102
Mailing Address - Country:US
Mailing Address - Phone:402-806-2872
Mailing Address - Fax:402-554-4971
Practice Address - Street 1:6001 DODGE ST # FH024
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68182-9797
Practice Address - Country:US
Practice Address - Phone:402-554-3783
Practice Address - Fax:402-554-4971
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10822255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer