Michelle Theis, OT

NPI #1205195831 in Wayne, Nebraska

Provider Information

NPI Number: 1205195831
Entity Type: Individual
Name: Michelle Theis, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 16, 2012
Last Updated: Jul 10, 2018

Practice Location

Address: 1200 PROVIDENCE RD
City: Wayne
State: Nebraska
ZIP Code: 68787
Phone: (402) 375-7937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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