Provider Demographics
NPI:1942885801
Name:KOHOUT, MEREDITH ANN (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:KOHOUT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 COUNTY ROAD I
Mailing Address - Street 2:
Mailing Address - City:FRIEND
Mailing Address - State:NE
Mailing Address - Zip Code:68359-2433
Mailing Address - Country:US
Mailing Address - Phone:402-641-6550
Mailing Address - Fax:
Practice Address - Street 1:610 224TH
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NE
Practice Address - Zip Code:68405-8475
Practice Address - Country:US
Practice Address - Phone:402-761-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2471225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist