Provider Demographics
NPI:1629678958
Name:HAWKINSON, CHELSIE MARIE (OT)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:MARIE
Last Name:HAWKINSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:CHELSIE
Other - Middle Name:MARIE
Other - Last Name:ECKHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5285
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5285
Mailing Address - Country:US
Mailing Address - Phone:308-675-1853
Mailing Address - Fax:308-210-4121
Practice Address - Street 1:3601 CIMARRON PLZ STE 100
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-2883
Practice Address - Country:US
Practice Address - Phone:402-463-2085
Practice Address - Fax:402-463-2062
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2516225X00000X
NE901195225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist