Provider Demographics
NPI:1669820585
Name:DAM, WHITNEY (DPT PT)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:DAM
Suffix:
Gender:F
Credentials:DPT PT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:EBKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT DPT
Mailing Address - Street 1:1445 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-3534
Mailing Address - Country:US
Mailing Address - Phone:402-512-3893
Mailing Address - Fax:402-509-3103
Practice Address - Street 1:1445 N BELL ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-3534
Practice Address - Country:US
Practice Address - Phone:402-512-3893
Practice Address - Fax:402-509-3103
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist