Individual
LACIE RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6351
Mailing address
208 N CLARK ST, MONDAMIN, IA 51557-2031
(712) 310-2015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1864
NE
225XP0200X
Pediatric Occupational Therapist
Primary
1864
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025453300
—
NE
Enumeration date
02/10/2015
Last updated
02/26/2026
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