Provider Demographics
NPI:1992084180
Name:GARNER, SHELLI FEBRUA (OTR/L)
Entity type:Individual
Prefix:
First Name:SHELLI
Middle Name:FEBRUA
Last Name:GARNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 REDMAN AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1842
Mailing Address - Country:US
Mailing Address - Phone:402-455-5025
Mailing Address - Fax:402-455-1819
Practice Address - Street 1:4809 REDMAN AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-1842
Practice Address - Country:US
Practice Address - Phone:402-455-5025
Practice Address - Fax:402-455-1819
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE987225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist