Individual
JODI STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
201 MAIN ST STE 9, PARKVILLE, MO 64152-3645
(816) 651-1868
Mailing address
100 W CALICO DR, RAYMORE, MO 64083-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018030856
MO
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
10/23/2018
Last updated
02/29/2024
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