Individual
KATHY MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
731 N KLEIN CIR, DERBY, KS 67037-7011
(316) 440-9619
Mailing address
6459 S EAGLE DR, DERBY, KS 67037-9039
(316) 737-5337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00566
KS
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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