Healthcare Provider Details

I. General information

NPI: 1457336075
Provider Name (Legal Business Name): APEX THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 ANDREWS DR
NORFOLK NE
68701-2760
US

IV. Provider business mailing address

PO BOX 1163
NORFOLK NE
68702-1163
US

V. Phone/Fax

Practice location:
  • Phone: 402-851-4026
  • Fax: 402-379-2487
Mailing address:
  • Phone: 402-851-4026
  • Fax: 402-379-2487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK P HANNAPPEL
Title or Position: LICENSED PSYCHOLOGIST CO-OWNER
Credential: PHD
Phone: 402-851-4026