Individual
AMY M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8550 MARSHALL DR, STE 210, LENEXA, KS 66214-1505
(913) 492-0333
(913) 492-0334
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701813
KS
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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