Provider Demographics
NPI:1275799348
Name:SPIES, SARAH JANE (OTD)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JANE
Last Name:SPIES
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21305 PALOMINO RD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-1023
Mailing Address - Country:US
Mailing Address - Phone:531-270-6239
Mailing Address - Fax:
Practice Address - Street 1:1902 HARLAN DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-6602
Practice Address - Country:US
Practice Address - Phone:402-682-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist