Provider Demographics
NPI:1437367349
Name:REGIER, JANIS L (OTR/L, LAC)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:L
Last Name:REGIER
Suffix:
Gender:F
Credentials:OTR/L, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 RIVERFRONT PLZ APT 602
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-4247
Mailing Address - Country:US
Mailing Address - Phone:206-660-6580
Mailing Address - Fax:
Practice Address - Street 1:416 S 14TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2605
Practice Address - Country:US
Practice Address - Phone:206-660-6580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE775225X00000X
NE33171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist