Theo T Willis

NPI #1093605370 in Lincoln, Nebraska

Provider Information

NPI Number: 1093605370
Entity Type: Individual
Name: Theo T Willis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Jul 8, 2025
Last Updated: Jul 8, 2025

Practice Location

Address: 157 SAMUEL AVE.
City: Lincoln
State: Nebraska
ZIP Code: 68523
Phone: (531) 510-8124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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