Healthcare Provider Details

I. General information

NPI: 1902715881
Provider Name (Legal Business Name): MARGARET KITZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 S 72ND ST STE 103
PAPILLION NE
68046-3408
US

IV. Provider business mailing address

10601 S 72ND ST STE 103
PAPILLION NE
68046-3408
US

V. Phone/Fax

Practice location:
  • Phone: 402-932-2782
  • Fax:
Mailing address:
  • Phone: 402-932-2782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3140
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: