Healthcare Provider Details

I. General information

NPI: 1962735571
Provider Name (Legal Business Name): DALYN RHOADES OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W 75TH ST SUITE 250
MERRIAM KS
66204-2209
US

IV. Provider business mailing address

11115 S 175TH ST
OMAHA NE
68136-2157
US

V. Phone/Fax

Practice location:
  • Phone: 888-913-1910
  • Fax:
Mailing address:
  • Phone: 402-953-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number1407
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number00214
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: