Provider Demographics
NPI:1790228880
Name:HANDPRINTS & FOOTSTEPS
Entity Type:Organization
Organization Name:HANDPRINTS & FOOTSTEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-420-2099
Mailing Address - Street 1:5930 VANDERVOORT DR
Mailing Address - Street 2:STE A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2391
Mailing Address - Country:US
Mailing Address - Phone:402-420-2099
Mailing Address - Fax:402-420-2823
Practice Address - Street 1:5930 VANDERVOORT DR
Practice Address - Street 2:STE A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2391
Practice Address - Country:US
Practice Address - Phone:402-420-2099
Practice Address - Fax:402-420-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1897235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty