Organization
ELLIS HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERI LYNNE MOGENSON OTR/L (PARTNER)
(816) 799-1767
Entity
Organization
Contact information
Practice address
10034 W 151ST ST, OVERLAND PARK, KS 66221-9326
(816) 799-1767
Mailing address
11184 ANTIOCH RD # 353, OVERLAND PARK, KS 66210-2420
(816) 799-1767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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