Healthcare Provider Details

I. General information

NPI: 1891882593
Provider Name (Legal Business Name): CHERYL A HOTOVY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 N NEBRASKA AVE
YORK NE
68467-8096
US

IV. Provider business mailing address

2835 N NEBRASKA AVE
YORK NE
68467-8096
US

V. Phone/Fax

Practice location:
  • Phone: 402-362-2929
  • Fax: 402-362-3133
Mailing address:
  • Phone: 402-362-2929
  • Fax: 402-362-3133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number781
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: