Healthcare Provider Details

I. General information

NPI: 1255729455
Provider Name (Legal Business Name): DAILY LIVING THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79145 ROAD 427
BROKEN BOW NE
68822-5123
US

IV. Provider business mailing address

45255 ROAD 800
ANSLEY NE
68814-5120
US

V. Phone/Fax

Practice location:
  • Phone: 308-750-9467
  • Fax: 308-210-8810
Mailing address:
  • Phone: 308-636-8947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number1569
License Number StateNE

VIII. Authorized Official

Name: VERONICA BOESER
Title or Position: OWNER
Credential: OTR/L
Phone: 308-636-8947