Healthcare Provider Details

I. General information

NPI: 1427971449
Provider Name (Legal Business Name): ASHLEY HERBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 VILLAGE SQ
GRETNA NE
68028-7853
US

IV. Provider business mailing address

913 VILLAGE SQ
GRETNA NE
68028-7853
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-0747
  • Fax: 402-991-5685
Mailing address:
  • Phone: 402-932-0747
  • Fax: 402-991-5685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3153
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: