Provider Demographics
NPI:1225357239
Name:MARSH, KAYCE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KAYCE
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KAYCE
Other - Middle Name:
Other - Last Name:SEIDL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8031 W. CENTER RD
Mailing Address - Street 2:STE. 300
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124
Mailing Address - Country:US
Mailing Address - Phone:402-391-5002
Mailing Address - Fax:402-343-1278
Practice Address - Street 1:8031 W. CENTER RD
Practice Address - Street 2:STE. 300
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-391-5002
Practice Address - Fax:402-343-1278
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47065477701Medicaid