Healthcare Provider Details

I. General information

NPI: 1972624427
Provider Name (Legal Business Name): LITTLE STEPS PEDIATRIC THERAPY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9485 HWY 40
AMHERST NE
68812
US

IV. Provider business mailing address

9485 HWY 40 PO BOX 25
AMHERST NE
68812
US

V. Phone/Fax

Practice location:
  • Phone: 308-440-5357
  • Fax:
Mailing address:
  • Phone: 308-440-5357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number880
License Number StateNE

VIII. Authorized Official

Name: MRS. AMY SCHNACKER
Title or Position: OCCUPATIONAL THERAPIST-OWNER
Credential: OTR-L
Phone: 308-440-5357