Individual
KASIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CIRCLE DR, SCOTTSBLUFF, NE 69361-1893
(307) 277-0090
Mailing address
2175 BROADWAY ST, MITCHELL, NE 69357-1226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1954
OCCUPATIONAL THERAPY LICENSE
NE
Enumeration date
12/18/2019
Last updated
03/11/2025
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