Provider Demographics
NPI:1871714295
Name:MOTTS, MARGARET NOLL (PT)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:NOLL
Last Name:MOTTS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:MARIE
Other - Last Name:NOLL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:640 S 69TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-1004
Mailing Address - Country:US
Mailing Address - Phone:402-504-4739
Mailing Address - Fax:
Practice Address - Street 1:1702 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3652
Practice Address - Country:US
Practice Address - Phone:402-682-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE451225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist