Provider Demographics
NPI:1568021509
Name:HOEPPNER, MORGAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HOEPPNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:13800 X RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NE
Mailing Address - Zip Code:68662-5561
Mailing Address - Country:US
Mailing Address - Phone:402-366-3927
Mailing Address - Fax:
Practice Address - Street 1:4715 38TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1622
Practice Address - Country:US
Practice Address - Phone:402-942-9272
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
NE2179225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist