MEDICARE: APEX THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1457336075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 1163
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68702-1163
Country	:	US
Telephone Number	:	402-851-4026
Fax Number	:	402-379-2487

Provider Business Practice Location Address
First Line	:	1306 ANDREWS DR
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2760
Country	:	US
Telephone Number	:	402-851-4026
Fax Number	:	402-379-2487

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	06/11/2013

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Directions to “APEX THERAPY SERVICES LLC ” Practice Location

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