Individual
KELSEY KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6960 S 110TH ST, LA VISTA, NE 68128
(402) 597-4835
(402) 331-4265
Mailing address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(402) 597-4800
(402) 497-4808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1924
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477702
—
NE
Enumeration date
08/31/2015
Last updated
09/07/2018
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