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 1:3900 YANKEE HILL RD STE 125
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7742
Mailing Address - Country:US
Mailing Address - Phone:402-413-0266
Mailing Address - Fax:402-925-0020
Practice Address - Street 1:3900 YANKEE HILL RD STE 125
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-7742
Practice Address - Country:US
Practice Address - Phone:402-413-0266
Practice Address - Fax:402-925-0020
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NE3115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist