Provider Demographics
NPI:1295380947
Name:SCHUSTER, NICHELLE RENAE (OTR)
Entity Type:Individual
Prefix:
First Name:NICHELLE
Middle Name:RENAE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19712 S 66TH RD
Mailing Address - Street 2:
Mailing Address - City:FILLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68357-6124
Mailing Address - Country:US
Mailing Address - Phone:402-631-7074
Mailing Address - Fax:
Practice Address - Street 1:611 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WILBER
Practice Address - State:NE
Practice Address - Zip Code:68465-2500
Practice Address - Country:US
Practice Address - Phone:402-821-2331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist