Provider Demographics
NPI:1497642334
Name:KAY, MARISSA (DPT)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25010 330TH ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:IA
Mailing Address - Zip Code:51553-4030
Mailing Address - Country:US
Mailing Address - Phone:712-309-6991
Mailing Address - Fax:
Practice Address - Street 1:11336 S 96TH ST STE 114
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4211
Practice Address - Country:US
Practice Address - Phone:402-315-3603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NECP044732T225100000X
IA132415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist