Individual
SHELLEY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6712 W 72ND STREET, OVERLAND PARK, KS 66204
(913) 709-5301
Mailing address
6712 W 72ND STREET, OVERLAND PARK, KS 66204-1912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00569
KS
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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