Dawn Michelle Klement

Individual provider Active NPI Occupational Therapist · Utica, NE

NPI 1487942272 · NPPES record last updated Jul 14, 2011

Key facts

NPI
1487942272
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
573 (NE)
Practice address
1350 Centennial Ave
Utica, NE 68456-6094
Phone
(402) 534-2041
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
573NEMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 573 NE Yes

Addresses

Primary practice location

1350 Centennial Ave
Utica, NE 68456-6094

Mailing address

1350 Centennial Ave
Utica, NE 68456-6094
Phone (402) 534-2041

Other providers in Utica, NE

All providers in Utica, NE · Occupational Therapist in Nebraska

Sources for this page

Verify at the official NPI Registry.