Individual
MR. MITCHELL SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2704 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
(816) 554-1379
Mailing address
2704 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
(816) 554-1379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016031107
MO
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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