Tomohiro Ide
Tomohiro Ide is an Athletic Trainer in Omaha, Nebraska. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6001 Dodge St Sapp FieldhouseOmaha, NE 68182-0001
Phone: (531) 218-9130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1578200903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 17, 2022 |
| Last updated in NPPES | May 17, 2022 |
| Certification date | May 17, 2022 |
| Mailing address | 6001 Dodge St Health And Kinesiology 207, Omaha, NE 68182-0001 |
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