Provider Demographics
NPI:1033659115
Name:FISHER, RENEE (OTR/L, CEA, CHT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:OTR/L, CEA, CHT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:KAUP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CEA
Mailing Address - Street 1:6110 ABBOTT DR
Mailing Address - Street 2:OCCUPATIONAL THERAPY
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-2834
Mailing Address - Country:US
Mailing Address - Phone:402-490-8327
Mailing Address - Fax:920-830-6707
Practice Address - Street 1:6110 ABBOTT DR
Practice Address - Street 2:OCCUPATIONAL THERAPY
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-2834
Practice Address - Country:US
Practice Address - Phone:402-490-8327
Practice Address - Fax:920-830-6707
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE237225X00000X, 225XE1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand