Healthcare Provider Details

I. General information

NPI: 1316867807
Provider Name (Legal Business Name): KERI ANN YORK BS, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KERIANN YORK BS, LMT

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 NORMAL BLVD STE 262
LINCOLN NE
68506-2892
US

IV. Provider business mailing address

9030 PRINCETON RD
FIRTH NE
68358-6137
US

V. Phone/Fax

Practice location:
  • Phone: 531-321-1194
  • Fax:
Mailing address:
  • Phone: 531-321-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number1366
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: