Provider Demographics
NPI:1447008610
Name:CHUNKA-BUTLER, HALEY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:CHUNKA-BUTLER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:TRAUERNICHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:3931 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-2468
Mailing Address - Country:US
Mailing Address - Phone:402-806-0543
Mailing Address - Fax:
Practice Address - Street 1:13225 WESTWOOD LN
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3515
Practice Address - Country:US
Practice Address - Phone:531-375-3024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2641225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist