Organization
ADAPTIVE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA M GATSCHET OTR/L (PRESIDENT)
(316) 390-0772
Entity
Organization
Contact information
Practice address
2423 W. MAPLE, STE B, WICHITA, KS 67213
(316) 390-0772
(316) 462-0508
Mailing address
2423 W. MAPLE, STE B, WICHITA, KS 67213
(316) 390-0772
(316) 462-0508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245395193
INDIVIDUAL NPI
KS
Enumeration date
04/10/2009
Last updated
12/07/2012
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