Provider Demographics
NPI:1356121412
Name:HORKY, KALLI
Entity type:Individual
Prefix:
First Name:KALLI
Middle Name:
Last Name:HORKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALLI
Other - Middle Name:
Other - Last Name:BEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:415 W WALL
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:NE
Mailing Address - Zip Code:68815-6002
Mailing Address - Country:US
Mailing Address - Phone:308-214-0700
Mailing Address - Fax:
Practice Address - Street 1:850 LAUREL PKWY
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822-1111
Practice Address - Country:US
Practice Address - Phone:308-767-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1420225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant