Provider Demographics
NPI:1588336713
Name:KOEPPING, ASHLEY B (OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:B
Last Name:KOEPPING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3925 S 147TH ST STE 109-111
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5565
Mailing Address - Country:US
Mailing Address - Phone:402-942-1329
Mailing Address - Fax:402-606-4664
Practice Address - Street 1:913 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-7853
Practice Address - Country:US
Practice Address - Phone:402-932-0747
Practice Address - Fax:402-991-5685
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE2479225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist