Healthcare Provider Details

I. General information

NPI: 1013344456
Provider Name (Legal Business Name): RACHEL KAY HEYL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 06/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7030 HELEN WITT DR STE A
LINCOLN NE
68512-3730
US

IV. Provider business mailing address

7030 HELEN WITT DR STE A
LINCOLN NE
68512-3730
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-4545
  • Fax: 402-423-0189
Mailing address:
  • Phone: 402-420-4545
  • Fax: 402-423-0189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3241
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: