Provider Demographics
NPI:1174090559
Name:NERHUS, KALEE (OTR/L)
Entity type:Individual
Prefix:
First Name:KALEE
Middle Name:
Last Name:NERHUS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 HAMMOCKS VW
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-5023
Mailing Address - Country:US
Mailing Address - Phone:612-709-5245
Mailing Address - Fax:
Practice Address - Street 1:415 HAMMOCKS VW
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-5023
Practice Address - Country:US
Practice Address - Phone:612-709-5245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006409225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist