Individual provider

MRS. ALISHA LEE ETTLEMAN, OTR/L

CMS NPPES lists MRS. ALISHA LEE ETTLEMAN as an individual provider record with NPI 1003007436. The current record reports a primary practice location in NEBRASKA CITY, NE and primary taxonomy code 225X00000X.

NPI 1003007436Record type Type 1Primary taxonomy 225X00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1314 3RD AVENEBRASKA CITY, NE 684101930

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 225X00000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
August 9, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.