Provider Demographics
NPI:1821069774
Name:PFEIL, MICHAL KRISTEN (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:MICHAL
Middle Name:KRISTEN
Last Name:PFEIL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7223 KENTWELL LANE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516
Mailing Address - Country:US
Mailing Address - Phone:402-413-1356
Mailing Address - Fax:402-413-7476
Practice Address - Street 1:7223 KENTWELL LANE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516
Practice Address - Country:US
Practice Address - Phone:402-413-1356
Practice Address - Fax:402-413-7476
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1141225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE2025OtherBLUE CROSS BLUE SHIELD