Individual
MICHELLE TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9101 158TH ST, OVERLAND PARK, KS 66221
(918) 361-2595
Mailing address
9101 158TH ST, OVERLAND PARK, KS 66221-7585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06024
MD
225X00000X
Occupational Therapist
Primary
3904
AZ
225X00000X
Occupational Therapist
9393
CA
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538375407
—
AZ
Enumeration date
05/15/2007
Last updated
09/05/2018
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