Basic Information
| Provider Information | |||||||||
| NPI: | 1821069774 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PFEIL | ||||||||
| FirstName: | MICHAL | ||||||||
| MiddleName: | KRISTEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | OTD, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8900 TRUCHARD RD | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685269720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024883828 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2943 PINE LAKE RD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | LINCOLN | ||||||||
| State: | NE | ||||||||
| PostalCode: | 685166007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024202020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 1141 | NE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
ID Information
| ID | Type | State | Issuer | Description | 2025 | 01 | NE | BLUE CROSS BLUE SHIELD | OTHER |