Provider Demographics
NPI:1306405345
Name:FARRIER, LANA JEAN (PTA)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:JEAN
Last Name:FARRIER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 N PAXTON ST
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:NE
Mailing Address - Zip Code:69143-4548
Mailing Address - Country:US
Mailing Address - Phone:308-546-7365
Mailing Address - Fax:
Practice Address - Street 1:232 N PAXTON ST
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:NE
Practice Address - Zip Code:69143-4548
Practice Address - Country:US
Practice Address - Phone:308-546-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1329225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant