Provider Demographics
NPI:1255629507
Name:MESSMAN, KIMBERLY ANNE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ANNE
Last Name:MESSMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANNE
Other - Last Name:MIHULKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1550 S. CODDINGTON AVE
Mailing Address - Street 2:STE C
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522
Mailing Address - Country:US
Mailing Address - Phone:402-423-0303
Mailing Address - Fax:402-484-7851
Practice Address - Street 1:1550 S. CODDINGTON AVE
Practice Address - Street 2:STE C
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522
Practice Address - Country:US
Practice Address - Phone:402-423-0303
Practice Address - Fax:402-484-7851
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1506225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist