Provider Demographics
NPI:1386512150
Name:BOYD, THOMAS LEE
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:LEE
Last Name:BOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S W RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NE
Mailing Address - Zip Code:68843-1737
Mailing Address - Country:US
Mailing Address - Phone:308-391-7601
Mailing Address - Fax:
Practice Address - Street 1:605 N PLATTE AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-2952
Practice Address - Country:US
Practice Address - Phone:402-745-6139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services