Provider Demographics
NPI:1447538772
Name:BITNEY, HEIDI SUE
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUE
Last Name:BITNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84879 525TH AVE
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-2063
Mailing Address - Country:US
Mailing Address - Phone:402-887-9077
Mailing Address - Fax:
Practice Address - Street 1:84879 525TH AVE
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-2063
Practice Address - Country:US
Practice Address - Phone:402-887-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE586225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology