Provider Demographics
NPI:1699598094
Name:CLOWERS, AMANDA MARIE (OT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:CLOWERS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43460 MADISON PLATTE RD
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:NE
Mailing Address - Zip Code:68644-5008
Mailing Address - Country:US
Mailing Address - Phone:402-915-4001
Mailing Address - Fax:
Practice Address - Street 1:8303 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4108
Practice Address - Country:US
Practice Address - Phone:402-354-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1470225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist