Provider Demographics
NPI:1457730657
Name:METZNER, CASSANDRA (ATC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:METZNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 N 23RD ST APT 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1094
Mailing Address - Country:US
Mailing Address - Phone:402-245-0156
Mailing Address - Fax:
Practice Address - Street 1:5831 N 23RD ST APT 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1094
Practice Address - Country:US
Practice Address - Phone:402-245-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6132255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer