Provider Demographics
NPI:1912738568
Name:PROTHMAN, MAKAYLA (OT)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:
Last Name:PROTHMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MAKAYL
Other - Middle Name:
Other - Last Name:HAMLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2952 STATE HIGHWAY 39
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NE
Mailing Address - Zip Code:68620-5827
Mailing Address - Country:US
Mailing Address - Phone:402-270-7349
Mailing Address - Fax:
Practice Address - Street 1:404 5TH AVE
Practice Address - Street 2:
Practice Address - City:HUMPHREY
Practice Address - State:NE
Practice Address - Zip Code:68642-3145
Practice Address - Country:US
Practice Address - Phone:402-270-7349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2929225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist