Healthcare Provider Details

I. General information

NPI: 1679408264
Provider Name (Legal Business Name): MARCI QUILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16304 WESTSIDE DR STE 400
PLATTSMOUTH NE
68048-6107
US

IV. Provider business mailing address

PO BOX 68
LOUISVILLE NE
68037-0068
US

V. Phone/Fax

Practice location:
  • Phone: 402-298-4747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4974
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: