Healthcare Provider Details

I. General information

NPI: 1700274503
Provider Name (Legal Business Name): ASHLEY IRENE BAILEY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2014
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 CHEYENNE STREET
BENKELMAN NE
69021
US

IV. Provider business mailing address

613 CHIEF ST
BENKELMAN NE
69021-4405
US

V. Phone/Fax

Practice location:
  • Phone: 308-423-7013
  • Fax: 308-423-2287
Mailing address:
  • Phone: 308-708-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3151
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: