Organization
WELL MAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE BREANNE WILLS OTR/L (OWNER)
(402) 203-3938
Entity
Organization
Contact information
Practice address
13569 SHIRLEY ST, OMAHA, NE 68144-1250
(402) 203-3938
Mailing address
13569 SHIRLEY ST, OMAHA, NE 68144-1250
(402) 203-3938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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