Lesli Deanne Nordhues, OTR/L
Individual provider Active NPI Occupational Therapist · Shenandoah, IA
NPI 1568643237 · NPPES record last updated Sep 6, 2012
Key facts
- NPI
- 1568643237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 01796 (IA)
- Practice address
- 500 N Broad St
Shenandoah, IA 51601-1318 - Phone
- (712) 246-2268
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01796 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Rehab Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01796 | IA | Yes |
Addresses
Primary practice location
500 N Broad St
Shenandoah, IA 51601-1318
Mailing address
1621 M Ave
Clarinda, IA 51632-5058
Phone (712) 303-9948
Other providers in Shenandoah, IA
- Drew Nielsen
- Nishna Productions, Inc.
- Nishna Productions, Inc.
- Nishna Productions, Inc.
- Nishna Valley Pharmacy
- Omaha Vamc
- Opco Shenandoah, Ia, LLC
- Optimum Braces Diagnostics LLC
- Paige Elizabeth Osborne
- John P Outhier
All providers in Shenandoah, IA · Occupational Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.